# QUALITY HEALTH SOURCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780327346
- **Authorized official:** TEMEKA L JOHNSON (NP)
- **Authorized official phone:** (678) 324-8009

## Contact information

- **Practice address:** 6116 MABLETON PKWY SW STE 136, MABLETON, GA 30126-4305
- **Practice address phone:** (770) 878-2997
- **Mailing address:** 6116 MABLETON PKWY SW STE 136, MABLETON, GA 30126-4305
- **Mailing address phone:** (678) 324-8009
- **Mailing address fax:** (678) 324-8017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 10/04/2024