Individual
DANICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 CLEBOURNE STREET, CUTHBERT, GA 39840-0177
(229) 732-3981
Mailing address
PO BOX 177, CUTHBERT, GA 39840-0177
(229) 732-3981
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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