Individual
DR. JULIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CORPORATE CENTER DR, SUITE 200, MORROW, GA 30260-4180
(770) 968-6464
(770) 968-6465
Mailing address
1000 CORPORATE CENTER DR, MORROW, GA 30260-4180
(770) 968-6464
(770) 968-6465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000893472
—
GA
Enumeration date
07/27/2005
Last updated
01/24/2012
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