Individual
SCOUT VIRGINIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2422 LAURENS ST, GROVETOWN, GA 30813-3441
(210) 787-9744
Mailing address
2422 LAURENS ST, GROVETOWN, GA 30813-3441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004313
GA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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