Individual
MR. SHAUWNN DAMMEON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
539 LANTERN WOOD DR, SCOTTDALE, GA 30079-6803
(404) 296-6523
Mailing address
539 LANTERN WOOD DR, SCOTTDALE, GA 30079-6803
(404) 296-6523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001866
GA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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