Individual
MR. ROBERT BLAKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501-3806
(770) 219-9676
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN215313
GA
Other
Enumeration date
07/12/2023
Last updated
10/18/2023
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