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Individual

MR. MARSHALL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1101
(404) 778-7777
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
6923
GA

Other

Enumeration date
07/16/2013
Last updated
11/14/2023
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