Individual
NATOSHA DIANE CANTY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 TOWNPARK LN NW, KENNESAW, GA 30144
(404) 364-7285
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 364-7285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
077236
GA
208D00000X
General Practice Physician
ME98556
FL
Other
Enumeration date
06/01/2007
Last updated
03/08/2022
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