| Debora Storey Johnson, Md Pc | |
|
950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 | |
| (404) 699-9600 | |
| (404) 696-7100 |
| Full Name | Debora Storey Johnson, Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 950 Dannon Vw Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Debora Storey Johnson (PRESIDENT AND CEO) |
| Authorized Official Contact | 4046999600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debora Storey Johnson, Md Pc 950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 Ph: (404) 699-9600 | Debora Storey Johnson, Md Pc 950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 Ph: (404) 699-9600 |
| NPI Number | 1316112188 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316112188 | NPI | - | NPPES |
| 070979307A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 043071 (Georgia) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 043071 (Georgia) | Primary |
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