Johnson, Lester R.

Johnson, Lester R. is an individual health care provider with primary practice located at 2841 N Patterson St , Valdosta GA 31602-1890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Lester R. can be contacted via phone (229) 316-2619.

Contact Information

Primary practice address
2841 N Patterson St Valdosta GA 31602-1890
Phone: (229) 316-2619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 026329 Tennessee

Profile Details

NPI number 1447295498
LBN Legal business name Johnson, Lester R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 9th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447295498 NPPES
Tennessee Other 4119544 BLUE CROSS
Tennessee MEDICAID PENDING BLUE CROSS

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