Individual
FAITH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 VETERANS PKWY S, MOULTRIE, GA 31788-9400
(229) 890-3553
Mailing address
203 LINDALE AVE, MOULTRIE, GA 31788-4111
(229) 589-3883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016532
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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