Individual
DELBRA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4067 STEAM MILL RD, COLUMBUS, GA 31907-4819
(762) 821-3112
(762) 821-3113
Mailing address
4067 STEAM MILL RD, COLUMBUS, GA 31907-4819
(762) 821-3112
(762) 821-3113
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/24/2017
Last updated
12/24/2017
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