Individual
MICHAEL SETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1890 O SHEA LN, MARIETTA, GA 30062-5438
(404) 548-4452
Mailing address
1890 O SHEA LN, MARIETTA, GA 30062-5438
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-012632
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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