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Vickie Johnson

NPI 1912468596 · on the registry since 2019 · sole proprietor

Practice

Address
90 Villa Nova St
Cuthbert, GA 39840
Phone
(229) 366-0906
Fax
(229) 732-5561
Organisation at this address
New Horizons Area Mh Mr Sa Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-27

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