Individual
PRINCESSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2803 WRIGHTSBORO RD, SUITE 45, AUGUSTA, GA 30909-3913
(706) 736-2737
(706) 731-9047
Mailing address
11 PARK PLACE CT, AUGUSTA, GA 30909-6052
(706) 736-6181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
52190
GA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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