Organization
GLORY REALM HEALTHCARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDETTE ANGELLA JOHNSON NP-C (NURSE PRACTITIONER)
(404) 692-6907
Entity
Organization
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(404) 692-6907
Mailing address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(404) 692-6907
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
01/24/2017
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