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Individual

MS. GABRIELLE SADE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5100 WHITEOAK TER SE, SMYRNA, GA 30080-7428
(850) 321-5631
Mailing address
5100 WHITEOAK TER SE, SMYRNA, GA 30080-7428
(850) 321-5631

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22239
CA
207R00000X
Internal Medicine Physician
96035
GA
208D00000X
General Practice Physician
Primary
96035
GA
208M00000X
Hospitalist Physician
22239
CA

Other

Enumeration date
04/24/2019
Last updated
05/20/2025
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