Individual
DR. MICHAEL STANLEY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2191 NORTHLAKE PKWY, SUITE 1122, TUCKER, GA 30084-4166
(678) 822-5810
(678) 822-5811
Mailing address
1112 WARRENHALL LN NE, ATLANTA, GA 30319-1938
(404) 459-8834
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
044500
GA
Other
Enumeration date
12/05/2006
Last updated
08/01/2011
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