Individual
RICHARD LARRIMORE JOHNSON III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
2420 SHALLEY DR, TALLAHASSEE, FL 32309-3019
(850) 893-5720
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003611
GA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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