Individual
MR. TRAVIS DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
7950 COLQUITT RD APT B2, ATLANTA, GA 30350-4019
(229) 520-1419
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8526
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2017
Last updated
01/13/2018
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