Individual
JILLIAN JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GEORGE C WILSON CT, AUGUSTA, GA 30909-6593
(706) 305-4225
Mailing address
1 GEORGE C WILSON CT STE A, AUGUSTA, GA 30909-6593
(706) 305-4225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014532
GA
Other
Enumeration date
06/15/2016
Last updated
02/06/2024
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