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1669177846
BRIAN KENT JOHNSON
BLUE RIDGE, GA
NPI
1669177846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA 286494)
Enumeration Date
2023-04-05
Last Update Date
2023-04-12
Business Address
BRIAN KENT JOHNSON PMHNP-BC
112 PROFESSIONAL RD SUITE 3
BLUE RIDGE, GA 30513
Phone number: 706-970-1948
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Mailing Address
BRIAN KENT JOHNSON PMHNP-BC
643 RAY LEWIS RD
BLAIRSVILLE, GA 30512-1439
Phone number: 610-453-1548
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