Shardae Johnson, | |
676 Tomahawk Pl, Austell, GA 30168-6336 | |
(217) 766-6188 | |
Not Available |
Full Name | Shardae Johnson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 676 Tomahawk Pl, Austell, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164305819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN100702 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shardae Johnson, 676 Tomahawk Pl, Austell, GA 30168-6336 Ph: (217) 766-6188 | Shardae Johnson, 676 Tomahawk Pl, Austell, GA 30168-6336 Ph: (217) 766-6188 |
Miss Lettina Cave, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3002 Nature Pass, Austell, GA 30106 Phone: 678-789-8521 | |
Christal Latrice Callier, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1995 Matt Dr, Austell, GA 30168 Phone: 404-219-2869 |