NPI 1598422768
Tracy Lynn Johnston
Practice location
- Address
- 508 Claradon Ave, Columbus, GA 31906-4354
- Phone
- (706) 615-1977
- Mailing address
- 3255 11th Airborne Div Rd, Fort Benning, GA 31905-4354
Registered specialties
Advanced Practice Dental Therapist
Primary
Registry record
- NPI
- 1598422768
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Nov 2021
- Record last updated
- 23 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.