Johnson, Camille M

Johnson, Camille M is an sole proprietor health care provider with primary practice located at 5230 Dallas Hwy , Powder Springs GA 30127-4263. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Camille M can be contacted via phone (404) 948-3019.

Contact Information

Primary practice address
5230 Dallas Hwy Powder Springs GA 30127-4263
Phone: (404) 948-3019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RN3105332 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201599 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN3105332 Georgia

Profile Details

NPI number 1811049448
LBN Legal business name Johnson, Camille M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jun 6th, 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 1811049448 NPPES
North Carolina MEDICAID 1811049448

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