TARA JOHNSON

DUBLIN, GA
NPI1275045098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: GA  CO083413)
Enumeration Date2017-11-02
Last Update Date2017-11-02
Business Address
TARA JOHNSON
702 ACADEMY AVE STE B
DUBLIN, GA 31021-4084
Phone number: 478-278-3674
Mailing Address
TARA JOHNSON
PO BOX 5002
DUBLIN, GA 31040-5002
Phone number: