Individual
MRS. ELIZABETH ELAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
4197 HIDEAWAY DR, TUCKER, GA 30084-7804
(770) 862-7868
Mailing address
4197 HIDEAWAY DR, TUCKER, GA 30084-7804
(770) 862-7868
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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