| Doctor Name: | CARLOS R JOHNSON |
| NPI Number: | 1710381165 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT011382 |
| Business Practice Address: | 4849 S Cobb Dr Se Suite 121 Smyrna, GA - 300807145 |
| Business Phone Number: | 7704385220 |
| Business Fax Number: | 7704384367 |
| Mailing Address: | 80 Technacenter Dr, Suite 300 MONTGOMERY |
| State: | AL |
| Postal Code: | 361176028 |
| Phone Number: | 3346255795 |
| Fax Number: | 3343964905 |
| NPI Enumeration Date: | 10/14/2014 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT011382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |