Tara Johnson

NPI #1275045098 in Dublin, Georgia

Provider Information

NPI Number
1275045098
Entity Type
Individual
Name
Tara Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Nov 2, 2017
Last Updated
Nov 2, 2017

Practice Location

Address
702 ACADEMY AVE STE B
City
Dublin
State
Georgia
ZIP Code
31021-4084
Phone
(478) 278-3674

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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