Individual
MRS. CELECHIA AVADAWNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2258 NORTHLAKE PKWY STE 365, TUCKER, GA 30084-4019
(470) 357-2289
Mailing address
3407 CHARTER CT, CONYERS, GA 30013-6387
(770) 483-6840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199114
GA
363LF0000X
Family Nurse Practitioner
Primary
F03200572
GA
363LP2300X
Primary Care Nurse Practitioner
F03200572
GA
Other
Enumeration date
03/23/2020
Last updated
09/09/2025
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