Individual
WELDON BOAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3240 NORTHEAST EXPY NE, ATLANTA, GA 30341-4003
(404) 480-9330
Mailing address
3240 NORTHEAST EXPY NE, ATLANTA, GA 30341-4003
(404) 480-9330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN284284
GA
Other
Enumeration date
03/20/2023
Last updated
01/25/2024
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