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Tara Johnson
Prosthetics Case Management in Dublin, Georgia
NPI 1275045098

Tara Johnson is a Prosthetics Case Management based in Dublin, GA and is specialized in Prosthetics Case Management. Tara Johnson practices in Dublin, GA. The NPI Number for Tara Johnson is 1275045098 and holds a License No. CO083413 (Georgia).

The current practice location address for Tara Johnson is 702 Academy Ave Ste B, Dublin, GA and can be reached out via phone at 478-278-3674.

Location: 702 Academy Ave Ste B, Dublin, GA, 31040-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275045098
Provider Name
Tara Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
702 Academy Ave Ste B, Dublin, GA, 31040-5002
Phone Number
478-278-3674
Fax Number
Provider Enumeration Date
11/02/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
702 Academy Ave Ste B
City
Dublin
State
Georgia
Zip
31021-4084
Phone Number
478-278-3674
Fax Number
person
Provider Business Mailing Address Details
Address
702 Academy Ave Ste B
City
Dublin
State
Georgia
Zip
31021-4084
Phone Number
478-278-3674
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
CO083413 (Georgia)
Definition
Definition to come...
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