Individual
JUNA VICTORIA KONOMI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CAA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7100
Mailing address
2433 IVEY CREST CIR, TUCKER, GA 30084-3755
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9942
GA
Other
Enumeration date
07/29/2020
Last updated
10/23/2020
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