Antranette Johnson

NPI #1386375947 in Valdosta, Georgia

Provider Information

NPI Number: 1386375947
Entity Type: Individual
Name: Antranette Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 4623 PIGEON OAKS DR
City: Valdosta
State: Georgia
ZIP Code: 31601-8143
Phone: (229) 548-4758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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