Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTEA S. JOHNSON, MS, MPH, CHES, CHC
Active Sole ProprietorNutrition, Education · POWDER SPRINGS, GA
Registration Details
- NPI Number
- 1356702054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2016 (10.162985863816 yrs)
- Last Updated
- Mar 9, 2016
- License
-
19853 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3721 NEW MACLAND RDSTE 200-129POWDER SPRINGS, GA, 301272000Browse GA providers · Browse ZIP 30127
- Phone
- 6787705247
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.