Individual
SHALON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 NORTHSIDE DR NW STE A7, ATLANTA, GA 30318-2695
(770) 990-4490
Mailing address
2471 HILLVALE CIR, LITHONIA, GA 30058-1817
(770) 990-4490
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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