Individual
MS. MARY NEEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP/BC
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE B-420, ATLANTA, GA 30328-5382
(404) 252-9751
Mailing address
4614 CHARTWELL CHASE CT, FLOWERY BRANCH, GA 30542-3745
(404) 831-1776
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN057678NP
GA
Other
Enumeration date
01/13/2009
Last updated
08/25/2011
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