Individual
LANEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2315 CENTRAL AVE STE A, AUGUSTA, GA 30904-6246
(706) 792-5040
Mailing address
7027 FENWICK ST, GRANITEVILLE, SC 29829-4076
(478) 290-7834
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
GAA-NP002240
GA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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