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1013074012
NATHANIEL JOHNSON
ATLANTA, GA
NPI
1013074012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA 032336)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. NATHANIEL JOHNSON M.D.
3915 CASCADE RD SW STE. T-115
ATLANTA, GA 30331-8512
Phone number: 404-696-8606
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Mailing Address
Dr. NATHANIEL JOHNSON M.D.
300 REGENCY CREST CT SW
ATLANTA, GA 30331-2061
Phone number: 404-456-1645
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