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NPI Code Detail

MEDICARE: RICHARD B JOHNSTON III M.D.

MEDICARE: RICHARD B JOHNSTON III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician033606GA
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician033606GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3200045072OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871593160
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD B JOHNSTON III M.D.
Provider Business Mailing Address
First Line : 900 CIRCLE 75 PKWY SE
Second Line : SUITE 1700
City : ATLANTA
State : GA
Zip : 30339-3035
Country : US
Telephone Number : 770-953-6929
Fax Number : 770-953-6972
Provider Business Practice Location Address
First Line : 1800 HOWELL MILL RD NW STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30318-0917
Country : US
Telephone Number : 404-352-1015
Fax Number : 404-477-1176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 06/03/2020

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