Individual
DR. LOWANDA DENT-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CANP
Contact information
Practice address
4519 WOODRUFF RD, SUITE 4 PMB 349, COLUMBUS, GA 31904-6011
(706) 653-2255
(706) 653-2329
Mailing address
2737 WARM SPRINGS RD, COLUMBUS, GA 31904-6859
(706) 653-2255
(706) 653-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN055775 NP
GA
363L00000X
Nurse Practitioner
Primary
RN055775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN055775 NP
GEORGIA LICENSE # RN055775 NP
GA
Enumeration date
09/02/2009
Last updated
03/04/2013
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