Individual
ADRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
127 GIDDENS LN, SPARKS, GA 31647-7622
(229) 506-3717
Mailing address
115 CHURCH ST, SPARKS, GA 31647-7415
(229) 506-3717
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN307560
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316545148
—
GA
Enumeration date
10/14/2020
Last updated
09/26/2023
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