| Tosha C Johnson Llc | |
|
267 Lee St Sw # A Parrott GA 39877-5254 | |
| (229) 376-9345 | |
| Not Available |
| Full Name | Tosha C Johnson Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 267 Lee St Sw # A, Parrott, Georgia |
| Authorized Official Name and Position | Tosha Johnson (FOUNDING OWNER) |
| Authorized Official Contact | 2293769345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tosha C Johnson Llc Po Box 62 Parrott GA 39877-0062 Ph: (229) 376-9345 | Tosha C Johnson Llc 267 Lee St Sw # A Parrott GA 39877-5254 Ph: (229) 376-9345 |
| NPI Number | 1992529952 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992529952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |