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Individual

ZACHARY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COF

Contact information

Practice address
10671 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-2062
(770) 948-8826
Mailing address
10671 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-2062
(770) 948-8826

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C42048
GA

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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