Organization
GRACE FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DAWN JOHNSON ARNP (NURSE PRACTITIONER)
(912) 729-2955
Entity
Organization
Contact information
Practice address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(912) 729-2955
(912) 882-4897
Mailing address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(912) 882-4897
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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