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Individual

JEFFREY SLADE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4753 ATLANTA HWY, LOGANVILLE, GA 30052-7307
(678) 639-4500
(678) 639-4511
Mailing address
4753 ATLANTA HWY, LOGANVILLE, GA 30052-7307
(678) 639-4500
(678) 639-4511

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
016121
GA

Other

Enumeration date
07/27/2020
Last updated
07/27/2020
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