JOHNNY ROGER TERRY

HINESVILLE, GA
NPI1104459932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: GA  MSW001177)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-02-20
Last Update Date2023-07-25
Business Address
JOHNNY ROGER TERRY
115 W OGLETHORPE HWY
HINESVILLE, GA 31313
Phone number: 912-334-0524
Mailing Address
JOHNNY ROGER TERRY
PO BOX 1084
GLENNVILLE, GA 30427-1084
Phone number: 912-334-0524