Individual
MS. DINIKA SHANNELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
150 BOBBY DODD WAY NW, ATLANTA, GA 30332-0001
(404) 894-3692
Mailing address
220 26TH ST NW, APT 1403, ATLANTA, GA 30309-1914
(704) 649-1055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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