Individual
KAY YETUNDE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3001 LUSK DR, SMYRNA, GA 30080
(678) 309-9977
Mailing address
4633 EGRET CT, AUSTELL, GA 30106-2781
(678) 549-2323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203788
GA
Other
Enumeration date
06/25/2015
Last updated
10/03/2018
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