Individual
JOHN L PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-6936
Mailing address
PO BOX 2968, KENNESAW, GA 30156-9117
(770) 779-0015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000010448
1ST MEDICAL NETWORK
GA
05
—
000751594
—
GA
05
—
000751594M
—
GA
05
—
000751594O
—
GA
01
—
011343
BCBS OF GEORGIA
GA
01
—
10038150
AMERIGROUP
GA
01
—
10598
KAISER
GA
01
—
200965
BCBS OF GEORGIA
GA
01
—
329761
WELLCARE OF GEORGIA
GA
Enumeration date
02/15/2006
Last updated
11/10/2008
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