Individual
EQUANAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5635 HUNTERS CROSSING CT, LITHONIA, GA 30038-1531
(414) 736-5207
Mailing address
5635 HUNTERS CROSSING CT, LITHONIA, GA 30038-1531
(414) 736-5207
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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