R Neil Johnston Md Llc | |
3033 N Decatur Rd Scottdale GA 30079-1143 | |
(404) 508-9908 | |
(404) 508-9906 |
Full Name | R Neil Johnston Md Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3033 N Decatur Rd, Scottdale, Georgia |
Authorized Official Name and Position | Roy Neil Johnston (OWNER) |
Authorized Official Contact | 4049318330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
R Neil Johnston Md Llc 3033 North Decatur Road P.o. Box 102 Scottdale GA 30079-0102 Ph: (404) 508-9908 | R Neil Johnston Md Llc 3033 N Decatur Rd Scottdale GA 30079-1143 Ph: (404) 508-9908 |
NPI Number | 1922282052 |
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Provider Enumeration Date | 12/26/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922282052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 040428 (Georgia) | Primary |
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