Individual
JOHNNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
231 GRAEFE ST, GRIFFIN, GA 30224-4222
(770) 227-1587
(770) 227-1485
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 254-5303
(478) 254-5324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00456
GA
Other
Enumeration date
06/08/2005
Last updated
10/19/2016
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