Individual
KEVIN MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1249
Mailing address
106 CHERRY HILL LN, STOCKBRIDGE, GA 30281-7359
(770) 789-8956
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
RN171627
GA
Other
Enumeration date
03/22/2022
Last updated
08/08/2025
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