Search › Georgia › 1744P3200X
Tara Johnson
NPI 1275045098 · on the registry since 2017 · sole proprietor
Practice
- Address
- 702 Academy Ave Ste B
Dublin, GA 31021 - Phone
- (478) 278-3674
- Organisation at this address
- Laurens County Board Of Health
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-02
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