Search › Georgia › 183500000X
Mark Johnson
NPI 1598009938 · on the registry since 2012 · sole proprietor
Practice
- Address
- 273 12th St Ne
Unit 313
Atlanta, GA 30309 - Phone
- (985) 788-4598
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- LA, AL, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-26
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