Johnson, Samuel

Johnson, Samuel is an individual health care provider with primary practice located at 5300 Memorial Dr Suite 112, Stone Mountain GA 30083-3148. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Samuel can be contacted via phone (678) 704-0306.

Contact Information

Primary practice address
5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148
Phone: (678) 704-0306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 037841 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 037841 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 037841 Georgia

Profile Details

NPI number 1477749810
LBN Legal business name Johnson, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 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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