Johnson, Michael Lee

Johnson, Michael Lee is an individual health care provider with primary practice located at 1100 Peachtree St Ne Ste 200 , Atlanta GA 30309-4503. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Johnson, Michael Lee can be contacted via phone (404) 445-5304.

Contact Information

Primary practice address
1100 Peachtree St Ne Ste 200 Atlanta GA 30309-4503
Phone: (404) 445-5304
Fax: (404) 445-5173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD001392 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001392 Georgia

Profile Details

NPI number 1730562083
LBN Legal business name Johnson, Michael Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Aug 14th, 2020 - about 4 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 1730562083 NPPES
Georgia Other POD001392 STATE LICENSE

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