Keysia Johnson

NPI #1760962724 in Monroe, Georgia

Provider Information

NPI Number: 1760962724
Entity Type: Individual
Name: Keysia Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 907 FAWNFIELD DR
City: Monroe
State: Georgia
ZIP Code: 30656-7010
Phone: (770) 557-9552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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