Individual
MS. CYNTHIA T. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
152 S MCKIBBEN ST, JACKSON, GA 30233-2022
(678) 603-0369
(678) 603-0369
Mailing address
152 S MCKIBBEN ST, JACKSON, GA 30233-2022
(678) 603-0369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN139146
GA
Other
Enumeration date
11/12/2017
Last updated
03/08/2018
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