Individual provider · Type 1 NPI

Courtney Griffin Johnston, PA-C

Surgical Physician Assistant · Dalton, GA

NPI number 1861940462 Active

Practice location

1501 Broadrick Dr Ste 1
Dalton, GA 30720-3014

Mailing address

132 Turvey Nichols Rd
Cisco, GA 30708-5033

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1861940462

Courtney Griffin Johnston, PA-C's National Provider Identifier is 1861940462, issued on Sep 13, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dalton, GA. The record was last updated on Apr 3, 2017.