Individual
MR. BERNARD THORNTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PERRY ST STE 241, NEWNAN, GA 30263-1918
(678) 789-8719
(470) 241-1231
Mailing address
PO BOX 72306, NEWNAN, GA 30271-2306
(678) 789-8719
(470) 241-1231
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
GA
347C00000X
Private Vehicle
—
GA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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