Individual
MRS. KIANA JOHNSON MIDDLEBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 PRINCE AVE, ATHENS, GA 30606-2296
(706) 354-7323
(706) 354-7365
Mailing address
1425 PRINCE AVE, ATHENS, GA 30606-2296
(706) 354-7323
(706) 354-7365
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
230100102074141
LA
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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