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Dedrika Johnson
NPI 1225198963 · on the registry since 2006 · sole proprietor
Practice
- Address
- 541 N. Historic Highway
Demorest, GA 30535 - Phone
- (706) 754-0029
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Also registered as
- 225XN1300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
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