Johnson, Vanita

Johnson, Vanita is an sole proprietor health care provider with primary practice located at 4001 Danforth Road Sw , Atlanta GA 30303. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Johnson, Vanita can be contacted via phone (330) 758-4515.

Contact Information

Primary practice address
4001 Danforth Road Sw Atlanta GA 30303
Phone: (330) 758-4515
Fax: (330) 758-5121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001019 Georgia

Profile Details

NPI number 1902868235
LBN Legal business name Johnson, Vanita
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated May 5th, 2008 - about 17 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 1902868235 NPPES
Georgia MEDICAID 910342833A

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