Octavia T Johnson
Octavia T Johnson is a Contractor in Valdosta, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1341 W Hill AveValdosta, GA 31601-5235
Phone: (229) 249-7730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1598421000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | November 10, 2021 |
| Certification date | November 10, 2021 |
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Mrs. Patricia D Johnson, PP
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