Individual
ATHENA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MONTGOMERY HWY STE 161, VESTAVIA, AL 35216-3690
(205) 532-2851
Mailing address
1401 MONTGOMERY HWY STE 161, VESTAVIA, AL 35216-3690
(205) 532-2851
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16010208
AL
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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