IndividualActive
Andrew Johnsen, M.D.
NPI 1760793673 · Anatomic Pathology & Clinical Pathology Physician · Conyers, GA
Provider details
- NPI number
- 1760793673
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 72755 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3248 Avalon Pkwy
Conyers, GA 30013-6320
Phone: (770) 922-9706
Fax: (770) 922-8792
Approximate (ZIP-level) locationGet directions
Mailing address
2874 Elks Club Rd
Covington, GA 30014-7453
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2017-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.