Individual
CHERYL BOWMAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3267
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3267
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065862
GA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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