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MRS. DIANNE JOHNSON MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2420 WINDSOR SPRING RD, AUGUSTA, GA 30906-4668
(706) 790-0661
(706) 793-5669
Mailing address
2420 WINDSOR SPRING RD, AUGUSTA, GA 30906-4668
(706) 790-0661
(706) 793-5669

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN128358
GA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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