Individual
MRS. LAQUITA CHARLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 SOUTHSHORE CT, BONAIRE, GA 31005-3575
(229) 712-8884
Mailing address
101 SOUTHSHORE CT, BONAIRE, GA 31005-3575
(229) 712-8884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN249668
GA
Other
Enumeration date
07/15/2022
Last updated
10/30/2025
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