Johnson, Anthony P

Johnson, Anthony P is an individual health care provider with primary practice located at 4120 N Valdosta Rd Ste A , Valdosta GA 31602-4973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Anthony P can be contacted via phone (229) 244-2068.

Contact Information

Primary practice address
4120 N Valdosta Rd Ste A Valdosta GA 31602-4973
Phone: (229) 244-2068
Fax: (229) 244-2850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21922 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F9622 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26877 Georgia

Profile Details

NPI number 1194795401
LBN Legal business name Johnson, Anthony P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 10th, 2021 - about 3 years ago

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 1194795401 NPPES
Georgia MEDICAID 00441152A
Georgia Other 2802730003
Georgia MEDICAID 890159W
Georgia MEDICAID 110025
Georgia Other 4232660
Georgia Other P00134990

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