Individual
AMBREIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MALONE ST, SANDERSVILLE, GA 31082-1738
(478) 412-3428
Mailing address
112 MALONE ST, SANDERSVILLE, GA 31082-1738
(478) 412-3428
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
23691-164-537-0743
GA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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