Individual
MARTIN THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7777
Mailing address
1460 DEERFIELD DR, HUMMELSTOWN, PA 17036-8908
(717) 557-1991
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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