Chryil Johnson
Nurse's Aide in Mcdonough, GA. Individual provider (NPI-1).
NPI number1023519667
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1023519667
- Entity type
- Individual (NPI-1)
- Name
- Chryil Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | CN0030044467 | GA | Yes |
Practice location
208 Ichabod LnMcdonough, GA 30252-4965
Phone 678-314-6026 · Fax 678-829-3329
Mailing address
208 Ichabod LnMcdonough, GA 30252-4965
Phone 678-314-6026 · Fax 678-829-3329
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