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1144865528
LIONEL TERRY JOHNSON
ATLANTA, GA
NPI
1144865528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: GA 00315)
Enumeration Date
2019-11-09
Last Update Date
2019-11-09
Business Address
Mr. LIONEL TERRY JOHNSON Operations
5825 GLENRIDGE DR STE 2-212
ATLANTA, GA 30328-5394
Phone number: 678-939-2749
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Mailing Address
Mr. LIONEL TERRY JOHNSON Operations
5825 GLENRIDGE DR STE 2-214
ATLANTA, GA 30328-5394
Phone number: 678-939-2749
Copy
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