Johnson, Amanda Beth

Johnson, Amanda Beth is an individual health care provider with primary practice located at 140 Burke Calhoun City Rd , Calhoun City MS 38916-9690. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Johnson, Amanda Beth can be contacted via phone (662) 628-6622.

Contact Information

Primary practice address
140 Burke Calhoun City Rd Calhoun City MS 38916-9690
Phone: (662) 628-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS15269 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26427 Mississippi
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X OS15269 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 26427 Mississippi

Profile Details

NPI number 1942511456
LBN Legal business name Johnson, Amanda Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Dec 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942511456 NPPES
Florida Other FY7AZ FL BLUE PROVIDER NUMBER
Florida MEDICAID 04385321 FL BLUE PROVIDER NUMBER

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