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General NPI Number Information
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NPI Number | 1700884285
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Entity Type | Individual
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Provider Name | CAROL ANN JOHNSON AU.D., F-AAA
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Gender | Female
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 2500 HOSPITAL BLVD SUITE 450
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City | ROSWELL
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State | GA
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Zip | 30076-4907
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Country | US
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Telephone | 770-343-8675
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Fax | 770-343-8126
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Provider Business Mailing Address
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Address Line | 2995 MOUNT MORIAH RD
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City | DALLAS
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State | GA
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Zip | 30132-1632
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Country | US
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Telephone | 770-505-7872
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Fax | 770-425-4330
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD001881
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License Number State | GA
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