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Mr. Clyde D Johnson JR., CSA
Surgical Physician Assistant in Atlanta, Georgia
NPI 1821256223

Clyde D Johnson JR. is a Surgical Physician Assistant based in Atlanta, GA and is specialized in Surgical. Clyde D Johnson JR. practices in Atlanta, GA and has the professional credentials of CSA. The NPI Number for Clyde D Johnson JR. is 1821256223 and holds a License No. 2625-2 (Georgia).

The current practice location address for Clyde D Johnson JR. is 5881 Glendrige Dr Ne, Atlanta, GA and can be reached out via phone at 404-303-7703. You can also correspond with Clyde D Johnson JR. through the mailing address at 5881 GLENDRIGE DR NE, ATLANTA, GA - 30328 (mailing address contact number: 404-303-7703).

Location: 5881 Glendrige Dr Ne, Atlanta, GA, 30328
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Provider Profile Details
NPI Number
1821256223
Provider Name
Clyde D Johnson JR.
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
5881 Glendrige Dr Ne, Atlanta, GA, 30328
Phone Number
404-303-7703
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
359555800 01 GA DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
5881 Glendrige Dr Ne
City
State
Zip
30328
Phone Number
404-303-7703
Fax Number
person
Provider Business Mailing Address Details
Address
5881 Glendrige Dr Ne
City
State
Zip
30328
Phone Number
404-303-7703
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2625-2 (Georgia)
Definition
Definition to come...
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