Individual
DEMICUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST STE A, AMERICUS, GA 31709-3015
(229) 931-6988
Mailing address
415 N JACKSON ST STE A, AMERICUS, GA 31709-3015
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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