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Individual

SHAWITEKIA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
312 MAGNOLIA DR, THOMSON, GA 30824-1842
(706) 699-6671
Mailing address
735 PINEVIEW DR SW, THOMSON, GA 30824-8219

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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