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MR. WILLIAM RICHARD JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(404) 778-3836
Mailing address
472 BEDFORD BAY LN, LAWRENCEVILLE, GA 30046-8355
(404) 729-9179

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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