Johnson, Courtney Parham
Johnson, Courtney Parham is an individual health care provider with primary practice located at 204 Professional Ct Se , Calhoun GA 30701-7020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Courtney Parham can be contacted via phone (706) 625-5900.Contact Information
Primary practice address
204 Professional Ct Se
Calhoun GA 30701-7020
Phone: (706) 625-5900
Fax: (706) 625-6519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006117 | Georgia |
Profile Details
| NPI number | 1003103870 |
|---|---|
| LBN Legal business name | Johnson, Courtney Parham |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Mar 13th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003103870 | NPPES |
| Georgia | Other | 1618655 | AMERIGROUP |
| Georgia | MEDICAID | MC#003112617A&B | AMERIGROUP |
| Georgia | Other | 685703 | AMERIGROUP |
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