Individual
MRS. ANGELETTA ANSLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1625 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8111
(470) 732-6950
Mailing address
1625 HOSPITAL SOUTH DR, AUSTELL, GA 30106-8111
(470) 732-6950
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN116219
GA
Other
Enumeration date
10/03/2013
Last updated
07/12/2023
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