Johnson, Mark

Johnson, Mark is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw 77 Building 5Th Floor, Atlanta GA 30309-1281. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Johnson, Mark can be contacted via phone (404) 605-4600.

Contact Information

Primary practice address
1968 Peachtree Rd Nw 77 Building 5Th Floor Atlanta GA 30309-1281
Phone: (404) 605-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 055843 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X ME124207 Florida

Profile Details

NPI number 1649313909
LBN Legal business name Johnson, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649313909 NPPES
Florida MEDICAID 015133000

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