NPI 1689800997

Monica Johnson

Practitioner Independent Duty Medical Technicians Moody a F B, GA

Practice location

Address: 3278 Mitchell Blvd, Moody a F B, GA 31699-1500
Phone: (229) 527-2105
Fax: (229) 257-3113
Mailing address: 6004 Susan Cir APT a, Valdosta, GA 31605-5282

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1689800997
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2009
Record last updated: 2 Jun 2009

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.