Johnson, Octavia T

Johnson, Octavia T is an individual health care provider with primary practice located at 1341 W Hill Ave , Valdosta GA 31601-5235. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Johnson, Octavia T can be contacted via phone (229) 249-7730.

Contact Information

Primary practice address
1341 W Hill Ave Valdosta GA 31601-5235
Phone: (229) 249-7730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1598421000
LBN Legal business name Johnson, Octavia T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2021
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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