Individual
NEDRA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-0000
(706) 769-0320
Mailing address
1010 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-0000
(706) 769-0320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN105276
GA
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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