Individual
KIMBERLY MARLENE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4365 ATLANTA HWY, ATHENS, GA 30606-0808
(706) 548-2824
(706) 548-2481
Mailing address
4365 ATLANTA HWY, ATHENS, GA 30606-0808
(706) 548-2824
(706) 548-2481
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1867
GA
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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