Individual
DR. KELLY MICHELE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 WILLOW LN, MCDONOUGH, GA 30253-6574
(404) 925-7847
Mailing address
2772 W ELLIS RD, GRIFFIN, GA 30223-7000
(404) 925-7847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022587
GA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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