Individual
MS. CAROLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN: CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Mailing address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN: CREDENTIALS, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN054934
GA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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