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Individual
LINDA JOHNSON
Active
Individual
LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN231831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4600444
—
GA
Enumeration date
07/18/2018
Last updated
02/24/2022
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