Individual
SHIRLEE T. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2501HIGHWAY 1 N, LOUISVILLE, GA 30434
(478) 625-3716
(478) 625-8201
Mailing address
17221 GA HIGHWAY 242 W, BARTOW, GA 30413-2607
(478) 364-6132
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN030916
GA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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