Johnson, Laurie G.
Johnson, Laurie G. is an individual health care provider with primary practice located at 308 Coliseum Dr Suite 120, Macon GA 31217-3808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Laurie G. can be contacted via phone (770) 496-9400.Contact Information
Primary practice address
308 Coliseum Dr Suite 120
Macon GA 31217-3808
Phone: (770) 496-9400
Fax: (770) 496-9495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN101726 | Georgia |
Profile Details
| NPI number | 1407835465 |
|---|---|
| LBN Legal business name | Johnson, Laurie G. |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Feb 26th, 2008 - about 16 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 | 1407835465 | NPPES |
| Georgia | MEDICAID | 103763417A |
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