Johnson, Craig G.
Johnson, Craig G. is an sole proprietor health care provider with primary practice located at 2540 Windy Hill Rd Se , Marietta GA 30067-8605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Johnson, Craig G. can be contacted via phone (770) 644-1570.Contact Information
Primary practice address
2540 Windy Hill Rd Se
Marietta GA 30067-8605
Phone: (770) 644-1570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 29689 | Georgia |
Profile Details
| NPI number | 1700998911 |
|---|---|
| LBN Legal business name | Johnson, Craig G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Oct 31st, 2019 - about 5 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 | 1700998911 | NPPES |
| Georgia | MEDICAID | 00345408C |
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