Individual
KIM LEVETTE JOHNSON-BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8 DOE LN, TIFTON, GA 31793-8166
(229) 392-8735
Mailing address
8 DOE LN, TIFTON, GA 31793-8166
(229) 392-8735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05210638
GA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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