Johnson, Melissa Jill

Johnson, Melissa Jill is an sole proprietor health care provider with primary practice located at 6920 Mcginnis Ferry Rd Suite 320, Suwanee GA 30024-1258. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Melissa Jill can be contacted via phone (770) 495-0610.

Contact Information

Primary practice address
6920 Mcginnis Ferry Rd Suite 320 Suwanee GA 30024-1258
Phone: (770) 495-0610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5672 Georgia

Profile Details

NPI number 1134167216
LBN Legal business name Johnson, Melissa Jill
Credentials PT, ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1134167216 NPPES
Georgia Other 592156 BCBS GA

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