Individual
NANCY G. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2709 MEREDYTH DR, SUITE 110, ALBANY, GA 31707-0222
(229) 432-7012
(229) 435-0211
Mailing address
2709 MEREDYTH DR, SUITE 110, ALBANY, GA 31707-0222
(229) 432-7012
(229) 435-0211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000676882C
—
GA
Enumeration date
10/19/2005
Last updated
01/24/2012
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