Individual
KATLYN D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
9 S MAIN ST, STATESBORO, GA 30458-5231
(912) 420-4770
Mailing address
9 S MAIN ST, STATESBORO, GA 30458-5231
(912) 420-4770
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
367772
GA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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