Johnson, Rodney Marc

Johnson, Rodney Marc is an individual health care provider with primary practice located at 229 Industrial Blvd , Dublin GA 31021-2969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Johnson, Rodney Marc can be contacted via phone (478) 353-1058.

Contact Information

Primary practice address
229 Industrial Blvd Dublin GA 31021-2969
Fax: (478) 238-0841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64841 Georgia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 64841 Georgia

Profile Details

NPI number 1992828289
LBN Legal business name Johnson, Rodney Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jan 27th, 2021 - about 3 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 1992828289 NPPES
Georgia Other 202I032517 MEDICARE PTAN
Georgia MEDICAID 003110844P MEDICARE PTAN

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