Individual
CANDICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1592 HARLEQUIN WAY, STOCKBRIDGE, GA 30281-4208
(404) 503-3119
Mailing address
1592 HARLEQUIN WAY, STOCKBRIDGE, GA 30281-4208
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN302378
GA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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