| Doctor Name: | VALENCIA JOHNSON |
| NPI Number: | 1841381498 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE |
| License Number: | 0600250H |
| Business Practice Address: | 2981 Church St Ste 214 East Point, GA - 303444100 |
| Business Phone Number: | 4047631456 |
| Business Fax Number: | 4047634115 |
| Mailing Address: | 2981 Church St Ste 214, EAST POINT |
| State: | GA |
| Postal Code: | 303444100 |
| Phone Number: | 4047631456 |
| Fax Number: | 4047634115 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0600250H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |