Organization
JOHNSON MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL GLENN JOHNSON (OWNER)
(912) 271-1570
Entity
Organization
Contact information
Practice address
3208 GRAGG ST, THUNDERBOLT, GA 31404-5320
(912) 271-1570
Mailing address
3208 GRAGG ST, THUNDERBOLT, GA 31404-5320
(912) 271-1570
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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