Individual
MR. RYAN PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGACNP-BC
Contact information
Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN236592
GA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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