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1649763236
LACEY BROOKE JOHNSON
ROME, GA
NPI
1649763236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 87777)
Enumeration Date
2018-06-08
Last Update Date
2024-08-27
Business Address
LACEY BROOKE JOHNSON DO
309 W 10TH ST NE
ROME, GA 30165-2638
Phone number: 706-203-5782
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Mailing Address
LACEY BROOKE JOHNSON DO
PO BOX 12938 C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone number: 706-602-7800
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