Organization
QUALITY HEALTH SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMEKA L JOHNSON (NP)
(678) 324-8009
Entity
Organization
Contact information
Practice address
6116 MABLETON PKWY SW STE 136, MABLETON, GA 30126-4305
(770) 878-2997
Mailing address
6116 MABLETON PKWY SW STE 136, MABLETON, GA 30126-4305
(678) 324-8009
(678) 324-8017
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
10/04/2024
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