Individual
VEDA C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 WHITEFOORD AVE SE, ATLANTA, GA 30317-1727
(404) 588-0101
(404) 588-0226
Mailing address
2015 UPPERGATE DR, ATLANTA, GA 30322-0001
(404) 522-0101
(404) 588-0226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509132F
—
GA
Enumeration date
06/26/2006
Last updated
07/08/2007
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