Individual
DR. CHRISTINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 284-9027
Mailing address
1320 MAIN ST, STE 300, COLUMBIA, SC 29201-3266
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1113
NE
207R00000X
Internal Medicine Physician
Primary
82449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82449
GA PROVIDER LICENSE- DO
GA
Enumeration date
06/06/2012
Last updated
01/12/2022
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