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Individual

COURTNEY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 ALEXANDER DR, APT 2324, AUGUSTA, GA 30909-0243
(302) 562-4089
Mailing address
1040 ALEXANDER DR, APT 2324, AUGUSTA, GA 30909-0243
(302) 562-4089

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0031591
DE

Other

Enumeration date
06/06/2015
Last updated
06/06/2015
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