STEPHANIE JORDAN JOHNSON

MACON, GA
NPI1790934560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: GA  011-R-0359)
Enumeration Date2008-09-16
Last Update Date2008-09-16
Business Address
Mrs. STEPHANIE JORDAN JOHNSON
3839 ATWOOD DR
MACON, GA 31204-5620
Phone number: 478-757-8982
Mailing Address
Mrs. STEPHANIE JORDAN JOHNSON
3839 ATWOOD DR
MACON, GA 31204-5620
Phone number: 478-757-8982