Individual
MARK J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PARKWAY, DEPARTMENT OF RADIOLOGY, JONESBORO, GA 30236
(770) 603-3522
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-9775
(404) 364-7000
(404) 364-4732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
033605
GA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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