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Individual

ROMONA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
300 EAST HOSPITAL ROAD, DWIGHT D EISENHOWER ARMY MEDICAL CENTER BUILDING, FORT GORDON, GA 30907
(706) 787-7116
Mailing address
300 EAST HOSPITAL ROAD, DWIGHT D EISENHOWER ARMY MEDICAL CENTER BUILDING, FORT GORDON, GA 30907
(706) 787-7116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024172201
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172201
VA

Other

Enumeration date
09/11/2007
Last updated
11/21/2014
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