Individual
HALEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
619 MINTER RD, GRIFFIN, GA 30223-5635
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
193368
GA
Other
Enumeration date
12/09/2019
Last updated
01/28/2020
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