Individual
RIQUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 KINLOCH CT, COVINGTON, GA 30014-8923
(470) 612-1483
Mailing address
5 KINLOCH CT, COVINGTON, GA 30014-8923
(470) 612-1483
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100281609
GA
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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