Individual
YOLONDA TANIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 TIFT AVE N STE A, TIFTON, GA 31794-4625
(229) 472-1788
Mailing address
111 CYPRESS RIDGE RD, TIFTON, GA 31794-1671
(229) 326-6976
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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