Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 E WALNUT AVE, DALTON, GA 30721-8799
(706) 278-6555
Mailing address
2405 SHANNON DR, DALTON, GA 30720-5796
(706) 271-6357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017866
GA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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