Individual
MS. CHIQUITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
160 BRAMBLE BUSH TRL, COVINGTON, GA 30014-5971
(470) 258-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
272620
GA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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