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NPI Code Detail

MEDICARE: ERIN LYNNETTE JOHNSON

MEDICARE: ERIN LYNNETTE JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianGA

General Provider Information

NPI Number : 1962352062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LYNNETTE JOHNSON
Provider Business Mailing Address
First Line : 400 LAKE DOW RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30252-2926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 LAKE DOW RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30252-2926
Country : US
Telephone Number : 943-227-3813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ ERIN LYNNETTE JOHNSON ” Practice Location

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