DOROTHY L JOHNSON LAGRANGE, GA

Contact Information

DOROTHY L JOHNSON

122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240

Phone: 706-845-4045
Fax: 706-845-4430
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for DOROTHY L JOHNSON · (Female)

NPI #	`1013562073`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/07/2019
Last updated	08/07/2019 - About 7 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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