Brandon Rashad Johnson
Driver in Mcdonough, GA. Individual provider (NPI-1).
NPI number1912672080
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1912672080
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon Rashad Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2021
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
292 Aylesbury BlvdMcdonough, GA 30252-3156
Phone 678-977-5590
Mailing address
292 Aylesbury BlvdMcdonough, GA 30252-3156
Phone 678-977-5590
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