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Contact Information

KWEZETA JOHNSON
4150 ARKWRIGHT RD APT 79
MACON, GA31210-1727
 Phone: 478-258-5618
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Department of Veterans Affairs (VA) Pharmacy

332100000X 87 All Other Suppliers
 

Driver

172A00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for KWEZETA JOHNSON · (Female)

NPI Number 1194425272
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2023
Last updated 04/21/2023 - About 3 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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