Individual
MS. KIMBERLY NOEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 ERNEST W BARRETT PKWY NW # 102B, KENNESAW, GA 30144-4534
(678) 354-2273
Mailing address
1704 KENBROOK CT NW, ACWORTH, GA 30101-3521
(404) 435-9940
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
119356
GA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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