Johnson, Samuel Andrew

Johnson, Samuel Andrew is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 460, Marietta GA 30060-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Johnson, Samuel Andrew can be contacted via phone (770) 427-7389.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 460 Marietta GA 30060-1155
Phone: (770) 427-7389
Fax: (770) 427-1492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 54909 Georgia

Profile Details

NPI number 1225255128
LBN Legal business name Johnson, Samuel Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 1st, 2019 - about 5 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 1225255128 NPPES
Georgia MEDICAID 003123548D
Georgia MEDICAID 003123548G
Georgia MEDICAID 003123548J
Georgia MEDICAID 003123548F
Georgia MEDICAID 003123548H
Georgia MEDICAID 003123548I
Georgia MEDICAID 003123548U
Georgia MEDICAID 003123548V
Georgia Other 54909
Georgia MEDICAID 003123548E
Georgia MEDICAID 003123548O
Georgia MEDICAID 003123548P
Georgia MEDICAID 003123548K
Georgia MEDICAID 003123548M
Georgia MEDICAID 003123548B
Georgia MEDICAID 003123548C
Georgia MEDICAID 003123548S
Georgia MEDICAID 003123548L
Georgia MEDICAID 003123548R
Georgia MEDICAID 003123548T
Georgia Other 29879
Georgia MEDICAID 003123548N
Georgia MEDICAID 003123548Q

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