Individual
MS. CRYSTAL SHANTAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3903 S COBB DR SE, SUITE 225, SMYRNA, GA 30080-8504
(770) 434-1904
(770) 434-1304
Mailing address
705 WATERBROOK TER, ROSWELL, GA 30076-2933
(404) 281-7385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0914437
GA
Other
Enumeration date
11/04/2014
Last updated
06/09/2016
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