Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3620 UTOY DR SW, ATLANTA, GA 30331-8617
(404) 423-7768
Mailing address
3620 UTOY DR SW, ATLANTA, GA 30331-8617
(404) 423-7768
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN186781
GA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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