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Individual

TALIA MARIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23 OLD ATLANTA HWY, NEWNAN, GA 30263-6341
(770) 251-6868
Mailing address
5040 SNAPFINGER WOODS DR STE 203, DECATUR, GA 30035-4020
(269) 352-3087

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122957
GA

Other

Enumeration date
03/26/2019
Last updated
12/04/2024
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