Search › Georgia › 163W00000X
Jermaine Johnson
NPI 1659808681 · on the registry since 2017 · sole proprietor
Practice
- Address
- 445 Winn Way
Decatur, GA 30030 - Phone
- (404) 294-3835
- Organisation at this address
- Genoa Healthcare Llc
Medcura Health, Inc.
Dekalb County Board Of Health
Dekalb Community Service Board
Dekalb Community Service BoardInferred from a shared address, not stated in the registry. - Clinicians at this address
- 181
Additional practice sites
- 175 Gwinnett Dr, Lawrenceville, GA
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-26
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