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1326443284
CRYSTAL SHANTAE JOHNSON
SMYRNA, GA
NPI
1326443284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F0914437)
Enumeration Date
2014-11-04
Last Update Date
2016-06-09
Business Address
Ms. CRYSTAL SHANTAE JOHNSON FNP-BC
3903 S COBB DR SE SUITE 225
SMYRNA, GA 30080-8504
Phone number: 770-434-1904
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Mailing Address
Ms. CRYSTAL SHANTAE JOHNSON FNP-BC
705 WATERBROOK TER
ROSWELL, GA 30076-2933
Phone number: 404-281-7385
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