Individual
SHOLONDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3539 EAGLEROCK DR, ATLANTA, GA 30340-4103
(520) 366-7767
Mailing address
3539 EAGLEROCK DR, ATLANTA, GA 30340-4103
(520) 366-7767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN223514
GA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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