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Shanta Johnson, CCMA

NPI 1548751340 · on the registry since 2018 · sole proprietor

Practice

Address
113 22nd Avenue Sw
Centerpoint, AL 35215
Phone
(850) 737-7392

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
374U00000X
374U00000X
374U00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama