Individual
MS. SUSAN H. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MNS, R.D.,L.D.,CDE
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5398
Mailing address
161 CARDIGAN CIR SW, LILBURN, GA 30047-2153
(770) 923-0993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000642
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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