Individual
DR. SHANEETA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
068580
GA
208600000X
Surgery Physician
35091547
OH
208600000X
Surgery Physician
MD036166
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132374A
—
GA
Enumeration date
11/04/2007
Last updated
01/27/2021
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