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1306355425
TANELL TWANNA JOHNSON
ALBANY, GA
NPI
1306355425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN191184)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
TANELL TWANNA JOHNSON
2100 PALMYRA RD
ALBANY, GA 31701-1320
Phone number: 298-883-3636
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Mailing Address
TANELL TWANNA JOHNSON
204 N WESTOVER BLVD
ALBANY, GA 31707-2983
Phone number: 229-888-6559
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