TRACY LYNN JOHNSTON

COLUMBUS, GA
NPI1598422768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: GA  987654)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
TRACY LYNN JOHNSTON
508 CLARADON AVE
COLUMBUS, GA 31906-4354
Phone number: 706-615-1977
Mailing Address
TRACY LYNN JOHNSTON
3255 11TH AIRBORNE DIV RD
FORT BENNING, GA 31905-4354
Phone number: 706-544-9071