Individual
DR. DEBORA STOREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 DANNON VW SW, SUITE 4102, ATLANTA, GA 30331-2160
(404) 699-9600
Mailing address
950 DANNON VW SW, SUITE 4102, ATLANTA, GA 30331-2160
(404) 699-9600
(404) 696-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
043071
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
043071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913228B
—
GA
Enumeration date
03/01/2007
Last updated
02/22/2012
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