Organization
CJ PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDANCE J JOHNSON MD (OWNER)
(678) 782-7137
Entity
Organization
Contact information
Practice address
290 COUNTRY CLUB DR, 140, STOCKBRIDGE, GA 30281
(678) 782-7137
(678) 782-7135
Mailing address
290 COUNTRY CLUB DR, 140, STOCKBRIDGE, GA 30281
(678) 782-7137
(678) 782-7135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50389
GA
Other
Enumeration date
06/09/2014
Last updated
06/17/2014
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