SearchGeorgia101YM0800X

Chaka Johnson

NPI 1164186680 · on the registry since 2021 · sole proprietor

Practice

Address
1538 Camp John Hope Rd
Fort Valley, GA 31030
Phone
(478) 244-9187

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia