Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-0511
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-0511
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
RN174049
GA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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