Individual provider · Type 1 NPI
Peter Charles Johnson, MD
Specialist · Athens, GA
NPI number
1669563029
Active
Practice location
965 Hawthorne Prk., Suite 100A
Athens, GA 30086
Fax (706) 369-0540
Mailing address
PO Box 1390
Stone Mountain, GA 30086-1390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 034378 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1669563029
Peter Charles Johnson, MD's National Provider Identifier is 1669563029, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Athens, GA. The record was last updated on May 5, 2008.