Individual
ELAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 CUMBERLAND BLVD SE STE 2, ATLANTA, GA 30339-5995
(718) 801-3653
Mailing address
3437 N DRUID HILLS RD APT I, DECATUR, GA 30033-3721
(718) 801-3653
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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