Keyana Johnson is a Driver based in Columbus, GA. Keyana Johnson practices in Columbus, GA. The NPI Number for Keyana Johnson is 1295432870 and holds a License No. 058640110 (Georgia).
The current practice location address for Keyana Johnson is 6022 Caribou Dr, Columbus, GA and can be reached out via phone at 706-888-0908.
Location: 6022 Caribou Dr, Columbus, GA, 31907-2902
Provider Profile Details
NPI Number
1295432870
Provider Name
Keyana Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6022 Caribou Dr, Columbus, GA, 31907-2902
Phone Number
706-888-0908
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92-1825334 | 01 | GA | NON EMERGENCY MEDICAL TRANSPORTATION |
Provider Business Practice Location Address Details
Address
6022 Caribou Dr
City
State
Zip
31907-2902
Phone Number
706-888-0908
Fax Number
Provider Business Mailing Address Details
Address
6022 Caribou Dr
City
State
Zip
31907-2902
Phone Number
706-888-0908
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
058640110 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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