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1114110061
DOUGLAS T. JOHNSON
DECATUR, GA
NPI
1114110061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 6115)
Enumeration Date
2007-08-23
Last Update Date
2011-09-09
Business Address
-- DOUGLAS T. JOHNSON PA-C
2801 N DECATUR RD STE 200
DECATUR, GA 30033-5936
Phone number: 404-296-5005
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Mailing Address
-- DOUGLAS T. JOHNSON PA-C
2801 N DECATUR RD SUITE 200
DECATUR, GA 30033-5825
Phone number: 404-296-5005
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