Individual
LAWANA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-7717
Mailing address
PO BOX 491342, COLLEGE PARK, GA 30349-9321
(770) 306-8372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN134387
GA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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