Mariah Johnson, RN
Registered Nurse in Marietta, GA. Individual provider (NPI-1).
NPI number1023830593
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1023830593
- Entity type
- Individual (NPI-1)
- Name
- Miss Mariah Johnson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN322977 | GA | Yes |
Practice location
1640 Powers Ferry Rd Se Unit 300Marietta, GA 30067-5491
Phone 877-711-3418
Mailing address
7 Executive Park Dr NeAtlanta, GA 30329-2250
Phone 470-439-4420
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