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Angela Johnson
NPI 1750863817 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5229 Mill Way
Stone Mountain, GA 30083 - Phone
- (317) 698-2594
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
104100000X
104100000X - Licence states on file
- CO, IL, NJ, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-11
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