NPI 1790934560

Stephanie Jordan Johnson

Practitioner Home Health Agency Macon, GA

Practice location

Address: 3839 Atwood Dr, Macon, GA 31204-5620
Phone: (478) 757-8982

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 011-R-0359 (GA)

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Registry record

NPI: 1790934560
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2008
Record last updated: 16 Sep 2008

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.