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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1902868235 | NPPES |
| Georgia | MEDICAID | 910342833A |
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