Individual
DANIEL ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 SIGMAN RD NE STE 125, CONYERS, GA 30012-3820
(678) 413-6276
(678) 413-6277
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(678) 996-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12501
GA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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