Michael Stanley Johnston M.D.

NPI 1427116169 - Pain Medicine - 208VP0000X

NPI Details
NPI 1427116169
Gender Male
Enumeration Date 12/05/2006
Last Updated 08/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2191 NORTHLAKE PKWY
SUITE 1122
TUCKER GA, 30084-4166, US
Phone (678) 822-5810
Fax (678) 822-5811
Business Location
1112 WARRENHALL LN NE
ATLANTA GA, 30319-1938, US
Phone (404) 459-8834
Fax
Toxanomy
Taxonomy Code 208VP0000X
License State Georgia
License Number 044500
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According to our database, Dr. Michael Stanley Johnston M.D. NPI is 1427116169, taxonomy code is 208VP0000X and license number is 044500, license state is located at Georgia. Michael Stanley Johnston M.D. physically located at 2191 Northlake Pkwy, Tucker GA, 30084-4166. NPI Number Michael Stanley Johnston M.D. has the Individual type.

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1427116169 NPI number is provided on an as is basis without warranty of any kind. 1427116169 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Stanley Johnston M.D. are for informational purposes only.