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1538105267
KELLEY L JOHNSON
BRASELTON, GA
NPI
1538105267
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Former Name
KELLEY L RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN253424)
Enumeration Date
2006-06-21
Last Update Date
2020-10-07
Business Address
KELLEY L JOHNSON FNP-BC
1515 RIVER PL STE 100
BRASELTON, GA 30517-5610
Phone number: 770-848-6195
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Mailing Address
KELLEY L JOHNSON FNP-BC
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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