Individual
CHRYIL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ICHABOD LN, MCDONOUGH, GA 30252-4965
(678) 314-6026
(678) 829-3329
Mailing address
208 ICHABOD LN, MCDONOUGH, GA 30252-4965
(678) 314-6026
(678) 829-3329
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030044467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822957221
BUSINESS
GA
Enumeration date
02/27/2018
Last updated
02/27/2018
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