Individual
DR. THEODORE MICHAEL JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA VA MEDICAL CENTER, 508/11B, ATLANTA, GA 30322-1013
(404) 778-3401
Mailing address
1365 CLIFTON RD NE, ATLANTA VA MEDICAL CENTER, 508/11B, ATLANTA, GA 30322-1013
(404) 778-3401
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
049656
GA
Other
Enumeration date
04/06/2006
Last updated
07/25/2012
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