Individual
JEREMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
4 LONGWOOD CIR, SAVANNAH, GA 31405-1014
(912) 663-7440
Mailing address
4 LONGWOOD CIR, SAVANNAH, GA 31405-1014
(912) 663-7440
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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