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Kanisha Johnson, BSN RN

NPI 1528726080 · on the registry since 2021 · sole proprietor

Practice

Address
6737 Bill Carruth Pkwy Apt 4311
Hiram, GA 30141
Phone
(770) 370-8088
Organisation at this address
Medilab Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Also registered as
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-02

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