Individual
LAWANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 CROWN HEIGHTS WAY, GROVETOWN, GA 30813-5906
(706) 715-0117
Mailing address
277 CROWN HEIGHTS WAY, GROVETOWN, GA 30813-5906
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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