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Individual

AMARIYAH TIANA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8279 WALNUT DR, JONESBORO, GA 30238-3138
(678) 826-7860
Mailing address
8279 WALNUT DR, JONESBORO, GA 30238-3138
(678) 826-7860

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
11/08/2025
Last updated
11/19/2025
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