Individual
ROY NEIL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
544 MEDLOCK RD, DECATUR, GA 30030-1515
(404) 378-0330
(404) 378-2191
Mailing address
PO BOX 666, DECATUR, GA 30031-0666
(404) 378-0330
(404) 378-2191
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
040428
GA
2084P0802X
Addiction Psychiatry Physician
040428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000763188E
—
GA
Enumeration date
03/13/2007
Last updated
06/24/2010
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