Individual
JOHNNA DENISE LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837
(229) 758-3385
(229) 785-5937
Mailing address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-3385
(229) 785-5937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
127193
GA
207Q00000X
Family Medicine Physician
RN127193
GA
208M00000X
Hospitalist Physician
Primary
RN127193
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11DO266342
CLIA LAB NUMBER
GA
05
—
642318048A
—
GA
01
—
GRP1474
MEDICARE GROUP NUMBER
GA
Enumeration date
10/26/2006
Last updated
05/01/2026
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