Individual
KATWANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2083 ELLIS ST, AUGUSTA, GA 30904-3521
(706) 504-5263
Mailing address
2083 ELLIS ST, AUGUSTA, GA 30904-3521
(706) 504-5263
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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