Individual
COLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE FL 7, ATLANTA, GA 30308-2212
(404) 778-5673
Mailing address
550 PEACHTREE ST NE FL 7, ATLANTA, GA 30308-2212
(404) 314-1225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008391
GA
Other
Enumeration date
12/04/2013
Last updated
04/30/2020
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