Individual
SHANTEA S. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MPH, CHES, CHC
Contact information
Practice address
3721 NEW MACLAND RD, STE 200-129, POWDER SPRINGS, GA 30127-2000
(678) 770-5247
Mailing address
3721 NEW MACLAND RD, STE 200-129, POWDER SPRINGS, GA 30127-2000
(678) 770-5247
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
19853
PA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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