ANTALLIA SHAUNTELL JOHNSON

BOAZ, AL
NPI1710443767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AL  1-154179)
Enumeration Date2019-02-14
Last Update Date2019-02-14
Business Address
ANTALLIA SHAUNTELL JOHNSON CRNP
2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL 35957
Phone number: 256-840-4530
Mailing Address
ANTALLIA SHAUNTELL JOHNSON CRNP
2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL 35957
Phone number: 256-840-4530