SearchGeorgia101YM0800X

Otis Johnson

NPI 1619447182 · on the registry since 2018 · sole proprietor

Practice

Address
1668 Olde Oak Dr
Lithia Springs, GA 30122
Phone
(404) 840-8575

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2018-11-27

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