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1821256223
CLYDE D JOHNSON
ATLANTA, GA
NPI
1821256223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 2625-2)
Enumeration Date
2008-06-02
Last Update Date
2017-09-22
Business Address
Mr. CLYDE D JOHNSON CSA
5881 GLENDRIGE DR NE SUITE 120
ATLANTA, GA 30328
Phone number: 404-303-7703
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Mailing Address
Mr. CLYDE D JOHNSON CSA
5881 GLENDRIGE DR NE SUITE 120
ATLANTA, GA 30328
Phone number: 404-303-7703
Copy
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