Individual
LONNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 POWDER SPRINGS RD SW STE 190, MARIETTA, GA 30064-4861
(404) 242-9881
(770) 433-0682
Mailing address
3061 MILFORD CHASE SW, MARIETTA, GA 30008-6882
(404) 242-9881
(770) 433-0682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001300
TX
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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