SearchGeorgia101YP2500X

Bianca Johnson

NPI 1760062483 · on the registry since 2021

Practice

Address
142 Blue Creek Ln
Loganville, GA 30052
Phone
(678) 732-4685

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-13

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