Johnson, Charla V

Johnson, Charla V is an individual health care provider with primary practice located at 950 Eagles Landing Pkwy Suite 212, Stockbridge GA 30281-7343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Charla V can be contacted via phone (404) 307-3062.

Contact Information

Primary practice address
950 Eagles Landing Pkwy Suite 212 Stockbridge GA 30281-7343
Phone: (404) 307-3062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003556 Georgia

Profile Details

NPI number 1033218581
LBN Legal business name Johnson, Charla V
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 26th, 2016 - about 9 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 1033218581 NPPES
Georgia MEDICAID 667084523B

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