Johnson, Malinda
Johnson, Malinda is an individual health care provider with primary practice located at 354 Newnan Crossing Byp Ste 200 , Newnan GA 30265-2434. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Malinda can be contacted via phone (770) 460-4747.Contact Information
Primary practice address
354 Newnan Crossing Byp Ste 200
Newnan GA 30265-2434
Phone: (770) 460-4747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110006226 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 008486 | Georgia |
Profile Details
| NPI number | 1801014329 |
|---|---|
| LBN Legal business name | Johnson, Malinda |
| Credentials | PA-C, OTR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jan 29th, 2021 - about 4 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 | 1801014329 | NPPES |
| Virginia | Other | VVS858A | MEDICARE |
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