Individual
CHERYL B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 457-2036
(478) 452-2042
Mailing address
PO BOX 1707, MILLEDGEVILLE, GA 31059-1707
(478) 457-2036
(478) 457-2042
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN093533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817319A
—
GA
01
—
430076993
MCRB RAILROAD
GA
Enumeration date
02/16/2006
Last updated
06/16/2010
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