Johnson, Nicole Dashawn

Johnson, Nicole Dashawn is an individual health care provider with primary practice located at 1485 Saint George Pl , Conyers GA 30012-7127. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Nicole Dashawn can be contacted via phone (770) 688-6382.

Contact Information

Primary practice address
1485 Saint George Pl Conyers GA 30012-7127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CL0228566 Florida

Profile Details

NPI number 1386215267
LBN Legal business name Johnson, Nicole Dashawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2021
Last updated Jul 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers