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General NPI Number Information
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NPI Number | 1124197686
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Entity Type | Individual
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Provider Name | THOMAS BRADFORD JOHNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 6100 LAKE FORREST DR STE 450
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City | ATLANTA
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State | GA
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Zip | 30328-3837
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Country | US
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Telephone | 770-766-7006
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Fax | 678-713-2555
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Provider Business Mailing Address
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Address Line | 2150 PEACHFORD ROAD SUITE R
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City | ATLANTA
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State | GA
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Zip | 30338
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Country | US
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Telephone | 770-455-0261
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Fax | 678-209-5300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 043833
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License Number State | GA
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