Individual
WENDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 E 4TH AVE, CORDELE, GA 31015-3211
(229) 273-6282
Mailing address
294 S CEDAR CREEK RD, CORDELE, GA 31015-6408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN29713
GA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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