Individual
DR. DANIEL CLAY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1130 SENOIA RD, SUITE B4, TYRONE, GA 30290-1678
(334) 799-5637
Mailing address
570 GRAND TETON CIR, FAYETTEVILLE, GA 30215-5282
(334) 799-5637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008900
GA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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