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Individual

TRACI JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1150 GOLDEN WAY, WATKINSVILLE, GA 30677-7712
(706) 612-9401
(706) 612-9420
Mailing address
1150 GOLDEN WAY, WATKINSVILLE, GA 30677-7712
(706) 612-9401
(706) 612-9420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP201265
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003123289A
GA
05
003123289E
GA
Enumeration date
04/23/2012
Last updated
10/28/2025
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