Individual
TEMPERESS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 CLEBORNE STREET, CUTHBERT, GA 39840
(229) 732-3981
Mailing address
PO BOX 177, 72 CLEBORNE STREET, CUTHBERT, GA 39840-0177
(229) 732-3981
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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