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Individual

MRS. MELONEY DENISE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
296 MAYWOOD DR, MARTINEZ, GA 30907-2272
(706) 877-8042
(706) 945-1697
Mailing address
296 MAYWOOD DRIVE, OPTIONAL, MARTINEZ, GA 30907-2272
(706) 877-8042
(706) 945-1697

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN182512
GA
163WC2100X
Continence Care Registered Nurse
RN182512
GA
163WG0000X
General Practice Registered Nurse
RN182512
GA
163WH0200X
Home Health Registered Nurse
Primary
RN182512
GA
163WM0705X
Medical-Surgical Registered Nurse
RN182512
GA
163WN0002X
Neonatal Intensive Care Registered Nurse
RN182512
GA
163WP0200X
Pediatric Registered Nurse
RN182512
GA

Other

Enumeration date
06/12/2013
Last updated
08/20/2021
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