Individual
AMY WACLAWSKI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
135 GARDNERS MILL RD, AUGUSTA, GA 30907-3795
(706) 855-5631
Mailing address
135 GARDNERS MILL RD, AUGUSTA, GA 30907-3795
(706) 855-5631
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
3409
SC
231H00000X
Audiologist
Primary
AUD003751
GA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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