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Contact Information

DOROTHY L JOHNSON
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA30240
 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

NPI Profile & details for

NPI # 1013562073
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/07/2019
Last updated 08/07/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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