Joshua Kent Johnston, OD
Optometrist in Atlanta, GA. Individual provider (NPI-1).
NPI number1013929520
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1013929520
- Entity type
- Individual (NPI-1)
- Name
- Joshua Kent Johnston
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Certification date
- Aug 25, 2021
- Last updated
- Aug 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT002197 | GA | Yes |
| 152W00000X | Optometrist | OPT13677T | CA |
Practice location
550 Peachtree St Ne Ste 1500Atlanta, GA 30308-2248
Phone 404-897-6810 · Fax 404-829-1319
Mailing address
1569 Trentwood Pl NeAtlanta, GA 30319
Phone 404-680-8474
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