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Chadrika L Johnson, OWNER,CENTERDIRECT
Clinical Laboratory Director (Non-physician) in Brunswick, Georgia
NPI 1952916231

Chadrika L Johnson is a Clinical Laboratory Director (Non-physician) based in Brunswick, GA and is specialized in Clinical Laboratory Director, Non-physician. Chadrika L Johnson practices in Brunswick, GA and has the professional credentials of OWNER,CENTERDIRECT. The NPI Number for Chadrika L Johnson is 1952916231 and holds a License No. (Georgia).

The current practice location address for Chadrika L Johnson is 1800 Albany St, Brunswick, GA and can be reached out via phone at 912-571-7497.

Location: 1800 Albany St, Brunswick, GA, 31525-1888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952916231
Provider Name
Chadrika L Johnson
Credential
OWNER,CENTERDIRECT
Provider Entity Type
Individual
Gender
Female
Address
1800 Albany St, Brunswick, GA, 31525-1888
Phone Number
912-571-7497
Fax Number
Provider Enumeration Date
09/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9125717497 01 GA N/A AT THIS TIME, CONTACT NUMBER
institution
Provider Business Practice Location Address Details
Address
1800 Albany St
City
Brunswick
State
Georgia
Zip
31520-5901
Phone Number
912-571-7497
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Albany St
City
Brunswick
State
Georgia
Zip
31520-5901
Phone Number
912-571-7497
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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