Individual
MS. FALLON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4961 BUFORD HWY, SUITE 201, CHAMBLEE, GA 30341-3535
(404) 575-4000
Mailing address
3640 S FULTON AVE, APT. 1557, ATLANTA, GA 30354-1703
(205) 960-0775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009125
GA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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