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Individual
CHERI K. JOHNSON
Active
Individual
CHERI K. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003850
GA
363A00000X
Physician Assistant
Primary
PA.930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980PA
—
SC
05
—
100002280F
—
GA
05
—
100002280G
—
GA
01
—
582203199-004
HMHS TRICARE SOUTH - SAVANNAH
—
01
—
582203199-009
HMHS TRICARE SOUTH - POOLER
—
01
—
P00853761
RR MEDICARE
GA
Enumeration date
10/11/2006
Last updated
09/06/2016
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