Individual
CAROLINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5571
(912) 435-6232
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5571
(912) 435-6232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN064400
GA
Other
Enumeration date
12/04/2015
Last updated
02/08/2024
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