Individual
MR. CALVIN A JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP, LMMT
Contact information
Practice address
3983 LAVISTA RD STE 184, TUCKER, GA 30084-5150
(770) 871-9640
Mailing address
3983 LAVISTA RD STE 184, TUCKER, GA 30084-5150
(770) 871-9640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008592
GA
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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