Organization
MIDWESTERN ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS TOUSSAINT JOHNSON PA-C (OWNER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Mailing address
433 HIGHLAND AVE NE, APT 1407, ATLANTA, GA 30312-1391
(404) 296-5005
(404) 296-2070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6115
GA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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