Seneca Johnson
Health & Wellness Coach in Mcdonough, GA. Individual provider (NPI-1).
NPI number1699534560
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1699534560
- Entity type
- Individual (NPI-1)
- Name
- Seneca Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2024
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | 1231048514 | GA | Yes |
Practice location
225 Swindon DrMcdonough, GA 30253-6945
Phone 631-939-1218
Mailing address
225 Swindon DrMcdonough, GA 30253-6945
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