Shaneeta Johnson M.D.

NPI 1093995334 - Surgery - 208600000X

NPI Details
NPI 1093995334
Gender Female
Enumeration Date 11/04/2007
Last Updated 09/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
33 UPPER RIVERDALE RD SW
SUITE 121
RIVERDALE GA, 30274-2626, US
Phone (770) 897-7546
Fax (770) 991-8521
Business Location
11 UPPER RIVERDALE RD SW
RIVERDALE GA, 30274-2615, US
Phone (770) 996-3190
Fax (770) 996-3529
Toxanomy
Taxonomy Code 208600000X
License State Ohio
License Number 35091547
Remove 1093995334 NPI Number
 

According to our database, Dr. Shaneeta Johnson M.D. NPI is 1093995334, taxonomy code is 208600000X and license number is 35091547, license state is located at Ohio. Shaneeta Johnson M.D. physically located at 33 Upper Riverdale Rd Sw, Riverdale GA, 30274-2626. NPI Number Shaneeta Johnson M.D. has the Individual type.

Sponsored links

1093995334 NPI number is provided on an as is basis without warranty of any kind. 1093995334 is maintained by the National Plan & Provider Enumeration System. The contents of Shaneeta Johnson M.D. are for informational purposes only.