Individual
JEREMIAH LAVAOMO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
20 WELLBROOK CT, COVINGTON, GA 30016-4626
(404) 447-9009
Mailing address
20 WELLBROOK CT, COVINGTON, GA 30016-4626
(404) 447-9009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP291874
GA
Other
Enumeration date
08/25/2025
Last updated
10/29/2025
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