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Gladys B Johnson
Family Nurse Practitioner in Stone Mountain, Georgia
NPI 1407458102

Gladys B Johnson is a Family Nurse Practitioner based in Stone Mountain, GA and is specialized in Family. Gladys B Johnson practices in Stone Mountain, GA. The NPI Number for Gladys B Johnson is 1407458102 and holds a License No. RN163718 (Georgia).

The current practice location address for Gladys B Johnson is 3962 Carlinswood Way, Stone Mountain, GA and can be reached out via phone at 404-376-2876.

Location: 3962 Carlinswood Way, Stone Mountain, GA, 30083-4776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407458102
Provider Name
Gladys B Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3962 Carlinswood Way, Stone Mountain, GA, 30083-4776
Phone Number
404-376-2876
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3962 Carlinswood Way
City
Stone Mountain
State
Georgia
Zip
30083-4776
Phone Number
404-376-2876
Fax Number
person
Provider Business Mailing Address Details
Address
3962 Carlinswood Way
City
Stone Mountain
State
Georgia
Zip
30083-4776
Phone Number
404-376-2876
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN163718 (Georgia)
Definition
Definition to come...
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