# MICHELLE VERONE JOHNSON - MONTEITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679173116
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | RN163740 | GA | — |
| 363L00000X | Nurse Practitioner | RN163740 | GA | Yes |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 01/15/2025
