Individual
MARTIN THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(678) 638-6610
(888) 866-2526
Mailing address
5907 BUCKNER CREEK DR, MABLETON, GA 30126-2794
(678) 984-7557
(678) 692-0265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
049301
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
049301
GA
Other
Enumeration date
11/23/2010
Last updated
08/23/2023
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