Individual
TAMRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0174
(706) 256-3264
Mailing address
2124 LANCASTER DR, COLUMBUS, GA 31904-5045
(706) 660-8661
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
084469
GA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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