Individual
YOLANDA OGLESBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
595 HURRICANE SHOALS ROAD, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
595 HURRICANE SHOALS ROAD, SUITE 300, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
070469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215918388
—
NC
01
—
132PW
BCBS
NC
05
—
89132PW
—
NC
Enumeration date
11/07/2005
Last updated
02/08/2024
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