Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLYDE D JOHNSON JR., CSA
Active Sole ProprietorMR. CLYDE D JOHNSON JR., CSA is a Surgical Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1821256223 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATLANTA, GA
Registration Details
- NPI Number
- 1821256223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2008 (18.173196796794 yrs)
- Last Updated
- Sep 22, 2017
- License
-
2625-2 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5881 GLENDRIGE DR NESUITE 120ATLANTA, GA, 30328Browse GA providers · Browse ZIP 30328
- Phone
- 4043037703
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| FREDA ELLEN WALL | PA-C | 1063417608 |
| MRS. AMANDA KATHRYN KLOSKY | PAC | 1487646287 |
| PATRICIA E BERGEY | PA-C | 1679555924 |
| MRS. AMANDA GRAEFIN VON DER SCHULENBURG | PA-C | 1619951985 |
| MR. BASSEM ELKHAYAT | L.S.A. | 1508838608 |
| CHRISTOPHER W NICKUM | P.A. | 1942260302 |
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.