Individual
VICTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 SAMMY CIR, GRIFFIN, GA 30223-8797
(678) 692-8820
Mailing address
207 SAMMY CIR, GRIFFIN, GA 30223-8797
(678) 692-8820
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP011272
GA
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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