Individual
CLAUDETTE ANGELLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(404) 692-6907
Mailing address
814 ARBOR WAY, LOGANVILLE, GA 30052-8028
(678) 615-2677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN180553
GA
Other
Enumeration date
01/13/2015
Last updated
01/24/2017
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