Johnson, Mary Alice

Johnson, Mary Alice is an individual health care provider with primary practice located at 425 W 3Rd Ave Lower Level, Albany GA 31701-1941. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Mary Alice can be contacted via phone (229) 312-7050.

Contact Information

Primary practice address
425 W 3Rd Ave Lower Level Albany GA 31701-1941
Fax: (229) 312-7055
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X RN120782 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN120782 Georgia

Profile Details

NPI number 1275619108
LBN Legal business name Johnson, Mary Alice
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 15th, 2011 - about 13 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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