Individual
DR. KELLEY MARSHALL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7795 LANDOWNE DR, ATLANTA, GA 30350-1063
(770) 730-8535
(770) 730-8535
Mailing address
CHILDREN'S HEALTHCARE OF ATLANTA, 2220 NORTH DRUID HILLS ROAD NE-DEPARTMENT OF RADIOLOGY, ATLANTA, GA 30329
(404) 785-6532
(770) 730-8535
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
048372
GA
2085P0229X
Pediatric Radiology Physician
Primary
48372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568993
ANTHEM/NORTON
KY
01
—
000023033O
HUMANA/NORTON
KY
05
—
000852893
—
GA
01
—
00533044
MEDICARE
KY
01
—
096946
SIHO/NORTON
KY
05
—
200928350
—
IN
01
—
50019563
PASSPORT/NORTON
KY
01
—
7100044200
KY MEDICAID-NORTON
KY
Enumeration date
02/13/2006
Last updated
04/21/2025
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