Individual
SHARON AVA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 431-0816
Mailing address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002317
GA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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