Brandi Nicole Johnson PA-C

NPI 1225398928 - Physician Assistant - 363AM0700X

NPI Details
NPI 1225398928
Gender Female
Enumeration Date 05/29/2012
Last Updated 05/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1505 NORTHSIDE BLVD
SUUITE 3000
CUMMING GA, 30041-7623, US
Phone (770) 886-0036
Fax (770) 886-6677
Business Location
1505 NORTHSIDE BLVD
SUUITE 3000
CUMMING GA, 30041-7623, US
Phone (770) 886-0036
Fax (770) 886-6677
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 6433
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According to our database, Brandi Nicole Johnson PA-C NPI is 1225398928, taxonomy code is 363AM0700X and license number is 6433, license state is located at Georgia. Brandi Nicole Johnson PA-C physically located at 1505 Northside Blvd, Cumming GA, 30041-7623. NPI Number Brandi Nicole Johnson PA-C has the Individual type.

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1225398928 NPI number is provided on an as is basis without warranty of any kind. 1225398928 is maintained by the National Plan & Provider Enumeration System. The contents of Brandi Nicole Johnson PA-C are for informational purposes only.