Individual
DR. KIMBALL ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
957 W MARIETTA ST NW, ATLANTA, GA 30318-5282
(404) 817-0062
(404) 817-0064
Mailing address
957 W MARIETTA ST NW, ATLANTA, GA 30318-5282
(404) 817-0062
(404) 817-0064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA32213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689736654
GROUP NPI
GA
Enumeration date
08/15/2005
Last updated
06/28/2010
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