Individual
MRS. MARILYN BALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1805 E WALNUT AVE, DALTON, GA 30721-4338
(706) 278-1252
(706) 279-2062
Mailing address
1805 E WALNUT AVE, DALTON, GA 30721-4338
(706) 278-1252
(706) 279-2062
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO0000845
GA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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