Individual
DR. ANDREW ERLING JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3248 AVALON PKWY, CONYERS, GA 30013-6320
(770) 922-9706
(770) 922-8792
Mailing address
2874 ELKS CLUB RD, COVINGTON, GA 30014-7453
(770) 595-3092
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
72755
GA
Other
Enumeration date
06/24/2010
Last updated
01/25/2017
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