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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033218581 | NPPES |
| Georgia | MEDICAID | 667084523B |
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