Individual
MRS. SIERRA JILES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 FAIRVIEW DR, COLUMBUS, GA 31907-1219
(706) 761-8823
Mailing address
4519 FAIRVIEW DR, COLUMBUS, GA 31907-1219
(706) 761-8823
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
02/27/2020
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