Individual
MARK ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1600
Mailing address
254 TRICKUM CREEK RD, TYRONE, GA 30290-1711
(770) 876-5649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
80598
GA
Other
Enumeration date
05/18/2015
Last updated
08/09/2018
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