Organization · Type 2 NPI

Michael O Johnson Physician Assistant PLLC

Primary Care Clinic/Center · Lawrenceville, GA

NPI number 1508542812 Active

Practice location

377 W Pike St # A3-2
Lawrenceville, GA 30046-4881

Call (470) 461-7031 Map

Fax (720) 502-6820

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1508542812

Michael O Johnson Physician Assistant PLLC's National Provider Identifier is 1508542812, issued on Jun 22, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 22, 2023.