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Search › Georgia › 363LF0000X

Denetra Johnson

NPI 1205207388 · on the registry since 2015

Practice

Address
5095 Mount Zion Pkwy
Stockbridge, GA 30281
Phone
(401) 652-9787
Fax
(401) 652-9787
Organisation at this address
Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
MS, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia