Individual
DIANNA JOHNSON BUREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
(770) 254-7837
Mailing address
1755 HIGHWAY 34 E STE 2200, NEWNAN, GA 30265-3190
(770) 502-2175
(770) 254-7837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8828
GA
Other
Enumeration date
07/16/2018
Last updated
05/02/2019
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