Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 001790 | GA |
NPI | 1013137934 |
---|---|
Provider Name | Joseph A Johnson |
First Address | Atlanta, GA 30318-2538 |
Second Address | Atlanta, GA 30318-2538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 16/08/2012 |