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Individual

RICHARD B JOHNSTON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 HOWELL MILL RD NW STE 200, ATLANTA, GA 30318-0917
(404) 352-1015
(404) 477-1176
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
033606
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
033606
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000656631G
GA
05
000656631H
GA
05
000656631I
GA
01
200045072
RAILROAD MEDICARE
GA
Enumeration date
07/28/2005
Last updated
06/03/2020
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