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Individual

ALICIA L JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
912 PINELAND AVE APT 39, HINESVILLE, GA 31313-6000
(912) 347-6357
Mailing address
912 PINELAND AVE APT 39, HINESVILLE, GA 31313-6000
(912) 347-6357

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
291U00000X
GA

Other

Enumeration date
08/23/2025
Last updated
08/23/2025
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