Individual
SENECA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 SWINDON DR, MCDONOUGH, GA 30253-6945
(631) 939-1218
Mailing address
225 SWINDON DR, MCDONOUGH, GA 30253-6945
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1231048514
GA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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