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Individual

MS. KAY LOUISE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M

Contact information

Practice address
1360 UPPER HEMBREE ROAD, SUITE 101, ROSWELL, GA 30076
(770) 817-1970
(770) 817-1980
Mailing address
1360 UPPER HEMBREE RD, SUITE 101, ROSWELL, GA 30076
(770) 817-1970
(770) 817-1980

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN059106
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00579246
GA
05
PENDING
GA
Enumeration date
12/28/2006
Last updated
11/05/2010
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