Most Relevant Information
Provider Data
| NPI Number: | 1003592031 |
| Provider Name: | SHALON JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
1700 NORTHSIDE DR NW STE A7
ATLANTA
GA
303182695
Practice Location Phone/Fax
| Phone: | 7709904490 |
| Fax: |
Provider Mailing Location
2471 HILLVALE CIR
LITHONIA
GA
300581817
Provider Mailing Phone/Fax
| Phone: | 7709904490 |
| Fax: |