Individual
KATURAH LATAVIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 N SHALLOWFORD RD APT 2212, CHAMBLEE, GA 30341-1158
(404) 432-8577
Mailing address
3247 HIDEAWAY LN, LOGANVILLE, GA 30052-7989
(404) 432-8577
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP217948
GA
Other
Enumeration date
01/25/2016
Last updated
10/20/2025
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