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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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