Individual
DR. ROBERT PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, EMORY UNIVERSITY HOSPITAL, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
954 GATEWOOD RD NE, YERKES/EMORY UNIVERSITY, ATLANTA, GA 30329-4208
(404) 727-7707
(404) 727-0623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59359
MA
207RI0200X
Infectious Disease Physician
59359
MA
207RI0200X
Infectious Disease Physician
Primary
72334
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066461
—
MA
01
—
724123
TUFTS HEALTH PLAN
MA
01
—
J09576
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
10/06/2014
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