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Search › Georgia › 363LA2100X

Nicole Johnson

NPI 1356819569 · on the registry since 2018 · sole proprietor

Practice

Address
55 Whitcher St Ne Ste 160
Marietta, GA 30060
Phone
(470) 956-8276
Fax
(770) 795-9161
Organisation at this address
G
Frank Yuan Llc
Urology Enterprises, Pc
Wellstar Medical Group, Llc
Wellstar Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
312

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-06

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