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Brian Johnson
NPI 1548630122 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1163 Bridge Mill Ave
Canton, GA 30114 - Phone
- (770) 845-6027
Registry record
- Primary taxonomy
- 246W00000X
246W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia