Search › Georgia › 311Z00000X
Carelle Johnson
NPI 1831997121 · on the registry since 2025 · sole proprietor
Practice
- Address
- 158 Kiowa Dr S
Jesup, GA 31545 - Phone
- (912) 424-3204
Registry record
- Primary taxonomy
- 311Z00000X
311Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-04
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