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1114374287
MICHAEL JOHNSON
MARIETTA, GA
NPI
1114374287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 16-399)
Enumeration Date
2016-05-19
Last Update Date
2016-07-07
Business Address
-- MICHAEL JOHNSON SA-C
2886 SANDY PLAINS RD
MARIETTA, GA 30066-0240
Phone number: 404-436-0664
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Mailing Address
-- MICHAEL JOHNSON SA-C
2886 SANDY PLAINS RD
MARIETTA, GA 30066-0240
Phone number: 404-436-0664
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