Organization
MILES D. JOHNSON, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES DAVID JOHNSON M.D.P.C. (OWNER)
(678) 556-9460
Entity
Organization
Contact information
Practice address
150 FIDDLERS RDG, FAIRBURN, GA 30213-3484
(678) 556-9460
(678) 556-9462
Mailing address
3001 S COBB DR SE, SUITE 103, SMYRNA, GA 30080-7809
(678) 556-9460
(678) 556-9460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
038817
GA
Other
Enumeration date
03/03/2008
Last updated
03/17/2008
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