Individual
KEYSIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 FAWNFIELD DR, MONROE, GA 30656-7010
(770) 557-9552
(404) 393-4558
Mailing address
907 FAWNFIELD DR, MONROE, GA 30656-7010
(770) 557-9552
(404) 393-4558
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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