Individual
BRITTANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 HEATHERWOODS DR, VALDOSTA, GA 31605-5231
(229) 380-6669
Mailing address
3924 HEATHERWOODS DR, VALDOSTA, GA 31605-5231
(229) 380-6669
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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