SearchGeorgia171M00000X

Tanika Johnson

NPI 1417678442 · on the registry since 2022 · sole proprietor

Practice

Address
12 Fitzwater Rd
Port Wentworth, GA 31407
Phone
(404) 457-4440

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2022-09-07

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