Search › Georgia › 363AS0400X
Clyde Johnson, CSA
NPI 1821256223 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5881 Glendrige Dr Ne
Suite 120
Atlanta, GA 30328 - Phone
- (404) 303-7703
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-22
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