Individual
DR. MICHAEL REU JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1075 MAIN ST, FOREST PARK, GA 30297-1441
(404) 366-4124
(404) 366-0297
Mailing address
1075 MAIN STREET, FOREST PARK, GA 30297
(404) 366-4124
(404) 366-0297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCJFQ
MEDICARE NUMBER
GA
Enumeration date
12/27/2006
Last updated
04/23/2013
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