Courtney Johnson

NPI #1215600036 in Kingsland, Georgia

Provider Information

NPI Number
1215600036
Entity Type
Individual
Name
Courtney Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Jul 28, 2021
Last Updated
Jul 28, 2021

Practice Location

Address
421 W KING AVE APT 6
State
Georgia
ZIP Code
31548-3203
Phone
(912) 464-5784

Specialties & Taxonomy Codes

Specialty
Contractor

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