Individual
MR. MILES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 FIDDLERS RDG, FAYETTEVILLE, GA 30214-2684
(404) 664-4578
(770) 991-5012
Mailing address
2600 MARTIN LUTHER KING JR DR SW STE 100, ATLANTA, GA 30311-1636
(678) 556-9460
(678) 556-9462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622729G
—
GA
Enumeration date
05/30/2006
Last updated
01/12/2026
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