Individual
TREECIE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 688-2962
Mailing address
PO BOX 6687, ATLANTA, GA 30315-0687
(404) 688-1350
(404) 688-2962
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN221171
GA
Other
Enumeration date
08/30/2012
Last updated
11/06/2015
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