Individual
ALICE OLGA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2209
(404) 881-1094
(404) 885-7777
Mailing address
550 PEACHTREE ST NE, SUITE 1620, ATLANTA, GA 30308-2209
(404) 885-7701
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00225739C
—
GA
Enumeration date
11/22/2005
Last updated
03/04/2013
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