ZACHARY K JOHANNESEN

SAVANNAH, GA
NPI1215364120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  2578)
Enumeration Date2013-10-09
Last Update Date2013-10-09
Business Address
-- ZACHARY K JOHANNESEN
5353 REYNOLDS REYNOLDS STREET
SAVANNAH, GA 31405-6015
Phone number: 912-819-6172
Mailing Address
-- ZACHARY K JOHANNESEN
255 W MICHIGAN AVE PO BOX 11223
JACKSON, MI 49201-2218
Phone number: 800-516-5315
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