NPI 1114374287

Michael Johnson, SAC

Practitioner Surgical Assistant Marietta, GA

Practice location

Address: 2886 Sandy Plains Rd, Marietta, GA 30066-0240
Phone: (404) 436-0664
Fax: (404) 393-6142

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-399 (GA)

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1114374287
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2016
Record last updated: 7 Jul 2016

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.