Individual
TAMARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E 63RD ST, SAVANNAH, GA 31405-4300
(912) 355-5938
(912) 352-0802
Mailing address
515 E 63RD ST, SAVANNAH, GA 31405-4300
(191) 235-5593
(912) 352-0802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN067622
GA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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