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Individual

SHAKIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1025 BULLSBORO DR STE A, NEWNAN, GA 30265-6800
(678) 633-6841
(770) 502-2265
Mailing address
124 POWERS FERRY RD SE STE E, MARIETTA, GA 30067-7579
(770) 726-2930
(404) 602-0081

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN195272
GA

Other

Enumeration date
03/21/2016
Last updated
08/20/2021
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