Doctor Name: | MRS. MELONEY DENISE JOHNSON |
NPI Number: | 1285072231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN182512 |
Business Practice Address: | 4708 E Creek Mill Ct Grovetown, GA - 308133058 |
Business Phone Number: | 7063126209 |
Business Fax Number: | |
Mailing Address: | 4708 E Creek Mill Ct, GROVETOWN |
State: | GA |
Postal Code: | 308133058 |
Phone Number: | 7063126209 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | RN182512 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |