Individual
MRS. DONNA MALI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC.
Contact information
Practice address
1504 BROADRICK DR, DALTON, GA 30720-3011
(706) 278-6403
(706) 278-0087
Mailing address
1504 BROADRICK DR, DALTON, GA 30720-3011
(706) 278-6403
(706) 278-0087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
APRN-NP313940
GA
Other
Enumeration date
05/09/2024
Last updated
11/04/2025
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