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Michelle Anastase Johnson

Doula in Conyers, GA. Individual provider (NPI-1).

NPI number1164028098
StatusActive
Last updated in NPPESDec 7, 2020

Details

NPI
1164028098
Entity type
Individual (NPI-1)
Name
Michelle Anastase Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 7, 2020
Certification date
Oct 17, 2020
Last updated
Dec 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374J00000X Doula–GAYes

Practice location

2126a Country Walk Way Se
Conyers, GA 30013-2168

Phone 469-531-9171

Mailing address

2126a Country Walk Way Se
Conyers, GA 30013-2168

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