Individual
GENIEVE FROST-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1791 MULKEY ROAD, SUITE 101, AUSTELL, GA 30106-1124
(770) 941-6883
(701) 941-7196
Mailing address
1791 MULKEY ROAD, SUITE 101, AUSTELL, GA 30106-1124
(770) 941-6883
(770) 941-7196
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
165016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477271178B
—
GA
Enumeration date
09/13/2006
Last updated
03/25/2011
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