Johnson, Jamaal Carlos

Johnson, Jamaal Carlos is an individual health care provider with primary practice located at 706 King Rd Ste F , Riverdale GA 30274-2034. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Johnson, Jamaal Carlos can be contacted via phone (877) 285-1780.

Contact Information

Primary practice address
706 King Rd Ste F Riverdale GA 30274-2034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1629569165
LBN Legal business name Johnson, Jamaal Carlos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - 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.

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