Most Relevant Information
Provider Data
| NPI Number: | 1003287533 |
| Provider Name: | KACIE PARRISH JOHNSON N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN197323 |
Most Important Dates
| Enumeration Date: | 10/09/2015 |
| Last Updated: | 04/08/2021 |
Provider Practice Location
3200 N ASHLEY ST STE C
VALDOSTA
GA
316025911
Practice Location Phone/Fax
| Phone: | 2296719100 |
| Fax: | 2296719101 |
Provider Mailing Location
3200 N ASHLEY ST STE C
VALDOSTA
GA
316025911
Provider Mailing Phone/Fax
| Phone: | 2296719100 |
| Fax: | 2296719101 |