Individual
JOHN WESLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
595 HURRICANE SHOALD RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(678) 252-2249
Mailing address
595 HURRICANE SHOALD RD NW, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(678) 252-2249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
080871
GA
Other
Enumeration date
06/23/2015
Last updated
07/30/2018
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