Individual
KEYANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6022 CARIBOU DR, COLUMBUS, GA 31907-2902
(706) 888-0908
Mailing address
6022 CARIBOU DR, COLUMBUS, GA 31907-2902
(706) 888-0908
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
058640110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1825334
NON EMERGENCY MEDICAL TRANSPORTATION
GA
Enumeration date
02/14/2023
Last updated
02/14/2023
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