Individual
DR. PHILLIP E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845, DULUTH, GA 30096-6501
(770) 476-3606
(770) 476-2818
Mailing address
3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845, DULUTH, GA 30096-6501
(770) 476-3606
(770) 476-2818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000841
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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