Individual
D'AMICO CORTEZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 KELLY RD STE 200, MCDONOUGH, GA 30253-6097
(770) 957-1887
Mailing address
3333 RIVERWOOD PKWY SE, STE 250, ATLANTA, GA 30339-3304
(786) 624-9311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89151
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
06/22/2021
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