Johnson, Carol

Johnson, Carol is an sole proprietor health care provider with primary practice located at 115 Birch Hollow Trl Nw , Marietta GA 30064-5421. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Johnson, Carol can be contacted via phone (770) 256-3649.

Contact Information

Primary practice address
115 Birch Hollow Trl Nw Marietta GA 30064-5421
Phone: (770) 256-3649
Fax: (912) 550-4802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8190 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 8190 Georgia

Profile Details

NPI number 1588725147
LBN Legal business name Johnson, Carol
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated May 17th, 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 1588725147 NPPES
Georgia Other 8190 PHYSICAL THERAPY LICENSE
Georgia Other 10040361 PHYSICAL THERAPY LICENSE
Georgia Other 319309 PHYSICAL THERAPY LICENSE
Georgia MEDICAID 530349285A PHYSICAL THERAPY LICENSE

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