Individual
JERMAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030
(404) 294-3835
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259272
GA
Other
Enumeration date
05/22/2017
Last updated
02/26/2024
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