Johnson, Ray Edward

Johnson, Ray Edward is an individual health care provider with primary practice located at 1348 Walton Way Suite 5100, Augusta GA 30901-5104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Johnson, Ray Edward can be contacted via phone (706) 724-8611.

Contact Information

Primary practice address
1348 Walton Way Suite 5100 Augusta GA 30901-5104
Phone: (706) 724-8611
Fax: (706) 724-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 017835 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 27647 Georgia

Profile Details

NPI number 1124046545
LBN Legal business name Johnson, Ray Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 27th, 2023 - about last year

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 1124046545 NPPES
Georgia MEDICAID 00222384A
Georgia Other 2089836
Georgia Other 2671375-002
Georgia Other 4115000
Georgia MEDICAID G17835
Georgia Other 237923

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