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Individual

BEQUANDRA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1836 ROSWELL ST SE APT 10407, SMYRNA, GA 30080-2368
(470) 930-6372
Mailing address
2955 COBB PKWY SE STE 301, ATLANTA, GA 30339-3523
(470) 930-6372

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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