Organization
DEBORA STOREY JOHNSON, MD PC
Active
Other names
Cascade Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORA STOREY JOHNSON M.D. (PRESIDENT AND CEO)
(404) 699-9600
Entity
Organization
Contact information
Practice address
950 DANNON VW SW, SUITE 4101, ATLANTA, GA 30331-2160
(404) 699-9600
(404) 696-7100
Mailing address
950 DANNON VW SW, SUITE 4101, 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
—
070979307A
—
GA
Enumeration date
04/23/2008
Last updated
04/23/2008
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