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Individual

MRS. SUSAN J JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3855 PLEASANT HILL RD, STE 100, DULUTH, GA 30096
(770) 495-0155
(770) 813-1298
Mailing address
3855 PLEASANT HILL RD, STE 100, DULUTH, GA 30096
(770) 495-0155
(770) 813-1298

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001791
GA

Other

Enumeration date
10/11/2006
Last updated
03/04/2009
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