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Individual

DR. DENISE A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
895 CANTON RD NE BLDG 100, MARIETTA, GA 30060-8935
(770) 427-8111
(678) 784-0254
Mailing address
1407 SOARING TRL, MARIETTA, GA 30062-3280
(678) 581-0626

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
056915
GA

Other

Enumeration date
11/19/2005
Last updated
07/08/2007
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