DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMUEL JOHNSON, M.D.

Active

DR. SAMUEL JOHNSON, M.D. is a Family Medicine healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1477749810 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · STONE MOUNTAIN, GA

Registration Details

NPI Number
1477749810
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2007 (18.901848697752 yrs)
Last Updated
Sep 19, 2007
Licenses
037841 (GA)
037841 (GA)
037841 (GA)

Practice Information

Address
5300 MEMORIAL DR
SUITE 112
STONE MOUNTAIN, GA, 300833148
Browse GA providers · Browse ZIP 30083
Phone
6787040306
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
General Surgery
Additional Specialty
General Practice

Other Family Medicine Providers in STONE MOUNTAIN, GA

Name Credential NPI
MR. MICHAEL LESLEY BARON DO 1104820125
DR. THOMAS B PARROTT M.D. 1922003904
DR. RAQUEL MARIA WATSON M.D. 1215936323
CATHERINE HUGGINS ALEXANDER MD 1104810423
MARTHA H CRENSHAW MD 1255325536
DR. TASSEW TESFAYE M.D. 1710974696
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.