Individual
MICHELLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Mailing address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217-8001
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
7427
GA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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