Individual
MS. MICHELLE ALLISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6707 PINE VALLEY TRCE, STONE MOUNTAIN, GA 30087-5818
(404) 394-8781
Mailing address
6707 PINE VALLEY TRCE, STONE MOUNTAIN, GA 30087-5818
(404) 394-8781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN131516
GA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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