Johnson, Theodore Samuel
Johnson, Theodore Samuel is an individual health care provider with primary practice located at 1120 Fifteenth Street, Cn-4141A , Augusta GA 30912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Johnson, Theodore Samuel can be contacted via phone (706) 721-3626.Contact Information
Primary practice address
1120 Fifteenth Street, Cn-4141A
Augusta GA 30912
Phone: (706) 721-3626
Fax: (706) 721-4804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 64115 | Georgia |
Profile Details
| NPI number | 1255453759 |
|---|---|
| LBN Legal business name | Johnson, Theodore Samuel |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jun 15th, 2017 - about 7 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.
Popular Providers
-
Navid, Fariba
4650 W Sunset Blvd , Los Angeles CA 90027-6062 -
Leung, Wing-Hang
262 Danny Thomas Pl , Memphis TN 38105-3678 -
Mckie, Virgil C.
1120 15Th St , Augusta GA 30912-0004 -
Mcdonough, Colleen H.
1120 15Th St , Augusta GA 30912-0004 -
Vega, Roger A
1120 15Th St , Augusta GA 30912-0004 -
Ring, Eric Kohl
1120 15Th St , Augusta GA 30912-5611 -
Mcgregor, Lisa M
500 University Dr , Hershey PA 17033-2360 -
Bell, Beverly A
1120 15Th St , Augusta GA 30912-0004