Johnson, Kristina Nicole
Johnson, Kristina Nicole is an individual health care provider with primary practice located at 3776 Us Highway 17 , Richmond Hill GA 31324-3378. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Kristina Nicole can be contacted via phone (912) 350-7020.Contact Information
Primary practice address
3776 Us Highway 17
Richmond Hill GA 31324-3378
Phone: (912) 350-7020
Fax: (912) 756-2427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 068198 | Georgia |
Profile Details
| NPI number | 1841426707 |
|---|---|
| LBN Legal business name | Johnson, Kristina Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Jan 18th, 2022 - about 3 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 | 1841426707 | NPPES |
| Georgia | MEDICAID | 003125374D | |
| Georgia | MEDICAID | 003125374A | |
| Georgia | MEDICAID | GA1347 | |
| Georgia | Other | P01074147 | |
| Georgia | MEDICAID | 003125374F | |
| Georgia | MEDICAID | 003125374B | |
| Georgia | MEDICAID | 003125374C |
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