Individual
ANASTASIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
Mailing address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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