NPI 1649819129
Wanda Breshae Johnson
Practice location
- Address
- 506 Manchester Expy STE A13, Columbus, GA 31904-6483
- Phone
- (706) 653-9343
- Mailing address
- 919 Lawyers Ln, Columbus, GA 31906-3129
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1649819129
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Dec 2019
- Record last updated
- 31 Dec 2019
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.