Individual
TAHIRAH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1657 HALLMARK HILLS DR, GRIFFIN, GA 30223-8790
(800) 760-0089
Mailing address
289 JONESBORO RD, MCDONOUGH, GA 30253-3725
(800) 760-0089
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
GA
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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