Individual
CARLY MORGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1045 N STATE HIGHWAY 121, MT ZION, IL 62549-1219
(217) 864-2084
(217) 864-2324
Mailing address
1045 N STATE HIGHWAY 121, MT ZION, IL 62549-1219
(217) 864-2084
(217) 864-2324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006295
IL
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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