Individual
DEYANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,
Contact information
Practice address
2507 ORCHARD ST, PHENIX CITY, AL 36869-6468
(706) 587-5619
Mailing address
2507 ORCHARD ST, PHENIX CITY, AL 36869-6468
(706) 587-5619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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