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1194447649
DERQUIS JOHNSON
STOCKBRIDGE, GA
NPI
1194447649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 250545)
Enumeration Date
2022-09-12
Last Update Date
2023-07-24
Business Address
DERQUIS JOHNSON FNP-C
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281-5173
Phone number: 770-914-0116
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Mailing Address
DERQUIS JOHNSON FNP-C
1039 GATE POST LN
LAWRENCEVILLE, GA 30044-6159
Phone number:
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