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General NPI Number Information
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NPI Number | 1669422010
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Entity Type | Individual
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Provider Name | WILLIAM HOLLAND JOHNSON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 6920 MCGINNIS FERRY RD STE 340
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City | SUWANEE
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State | GA
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Zip | 30024-6675
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Country | US
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Telephone | 770-232-2911
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Fax | 770-232-2996
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Provider Business Mailing Address
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Address Line | 9710 ALMAVIVA DR
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City | JOHNS CREEK
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State | GA
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Zip | 30022-4989
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Country | US
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Telephone | 404-983-6759
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 057867
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License Number State | GA
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