Individual
TANIA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 604-4631
Mailing address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 604-4631
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
198253
GA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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