Most Relevant Information
Provider Data
| NPI Number: | 1003298134 |
| Provider Name: | GARNETTE JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2015 |
| Last Updated: | 06/25/2015 |
Provider Practice Location
312 WHITTINGTON PKWY
LOUISVILLE
KY
402224923
Practice Location Phone/Fax
| Phone: | 5024291249 |
| Fax: |
Provider Mailing Location
312 WHITTINGTON PKWY
LOUISVILLE
KY
402224923
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |