Individual
JUANITA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1482 LANEY WALKER BLVD, AUGUSTA, GA 30912-0003
(678) 756-1341
Mailing address
792 HERITAGE POST LN, GRAYSON, GA 30017-1692
(678) 756-1341
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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