NPI 1013074012

Nathaniel Johnson, MD

Practitioner Specialist Atlanta, GA

Practice location

Address: 3915 Cascade Rd SW STE. T-115, Atlanta, GA 30331-8512
Phone: (404) 696-8606
Mailing address: 300 Regency Crest CT SW, Atlanta, GA 30331-2061

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 032336 (GA)

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Registry record

NPI: 1013074012
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.