Individual
CRAIG G. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
Mailing address
1234 WILLIAMSWOOD POINTE, DECATUR, GA 30033-2800
(770) 888-2524
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
29689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00345408C
—
GA
Enumeration date
09/01/2006
Last updated
10/31/2019
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