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
Phone: (478) 353-1058
Fax: (478) 238-0841
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992828289 | NPPES |
Georgia | Other | 202I032517 | MEDICARE PTAN |
Georgia | MEDICAID | 003110844P | MEDICARE PTAN |
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