Individual
CARLOS R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4849 S COBB DR SE, SUITE 121, SMYRNA, GA 30080-7145
(770) 438-5220
(770) 438-4367
Mailing address
80 TECHNACENTER DR, SUITE 300, MONTGOMERY, AL 36117-6028
(334) 625-5795
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011382
GA
Other
Enumeration date
10/14/2014
Last updated
03/16/2016
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