Search › Georgia › 363LA2200X
Nicole Johnson, NP
NPI 1710116769 · on the registry since 2009
Practice
- Address
- 3580 Cameron Pkwy
Stockbridge, GA 30281 - Phone
- (770) 996-6446
- Fax
- (770) 996-6279
- Organisation at this address
- Southside Kidney Clinics, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-13
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