Individual
DIONNA SHAUNTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 NORTH JACKSON STREET, AMERICUS, GA 31709
(229) 591-3585
Mailing address
211 N JACKSON ST, AMERICUS, GA 31709-3527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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