Search › Illinois › 133V00000X
Carly Johnson, R.D
NPI 1699177170 · on the registry since 2014
Practice
- Address
- 1045 N State Highway 121
Mt Zion, IL 62549 - Phone
- (217) 864-2084
- Fax
- (217) 864-2324
- Organisation at this address
- Dolly Briscoe Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-16
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 Illinois