Individual
MR. GREGORY ALAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P. A. - C.
Contact information
Practice address
80 JESSE HILL JR DR NE, ATLANTA, GA 30303-2613
(404) 616-2949
Mailing address
5191 ISLAND DR, STONE MOUNTAIN, GA 30087-4249
(770) 498-9717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002119
GA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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