Individual
MIKHALA JUNO MORIAH JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 E JACKSON BLVD, SAVANNAH, GA 31405-5895
(912) 355-1010
Mailing address
4 E JACKSON BLVD, SAVANNAH, GA 31405-5895
(912) 355-1010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11038
GA
363AS0400X
Surgical Physician Assistant
Primary
11038
GA
Other
Enumeration date
07/27/2022
Last updated
09/18/2023
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