Individual
DR. KATHLEEN O'HARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6330 RIVERDALE RD, RIVERDALE, GA 30274-1617
(770) 994-7400
Mailing address
6330 RIVERDALE RD, RIVERDALE, GA 30274-1617
(770) 994-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40426
GA
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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