Individual
BONNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5226 HWY 25 S, MILLEN, GA 30442-5165
(478) 494-2530
Mailing address
5226 HWY 25 S, MILLEN, GA 30442-5165
(478) 494-2530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008954
GA
Other
Enumeration date
06/30/2015
Last updated
07/21/2022
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