Gwendolyn Watts Johnson in Eldersburg - Clinical
Gwendolyn Watts Johnson - NPI 1730253014
Gwendolyn Watts Johnson is a Clinical in Eldersburg, Maryland. Gwendolyn Watts Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwendolyn Watts Johnson is 1730253014. The last update date is 2007-07-08.
Gwendolyn Watts Johnson's current location address is 1425 Liberty Road, Eldersburg, Maryland. You can contact this provider via phone number 4105520773 and fax number 4105520774. The mailing address for Gwendolyn Watts Johnson is 1425 Liberty Road, Eldersburg, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Watts Johnson |
|---|---|
| Address | 1425 Liberty Road, Eldersburg, Maryland |
| Phone Number | 4105520773 |
| Fax Number | 4105520774 |
| Sole Proprietor | N |
| Credentials | LCSWC |
NPI Number Detail
| NPI Number | 1730253014 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 Liberty Road |
|---|---|
| City | Eldersburg |
| State | Maryland (MD) |
| Post Code | 21784 |
| Phone Number | 4105520773 |
| Fax Number | 4105520774 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4393 |
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What is the unique 10-digit identifier code issued to Gwendolyn Watts Johnson by the Centers for Medicare & Medicaid Services?
The Gwendolyn Watts Johnson has been assigned the NPI (National Provider Identifier) 1730253014 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gwendolyn Watts Johnson?
The Gwendolyn Watts Johnson is physically situated at 1425 Liberty Road, in the city of Eldersburg, state of MD, with the postal code 21784.
What is the Gwendolyn Watts Johnson's specialty and taxonomy code?
The Gwendolyn Watts Johnson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Gwendolyn Watts Johnson receive its 1730253014 assignment from the Centers for Medicare & Medicaid Services?
The Gwendolyn Watts Johnson was assigned its 1730253014 on 2006-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gwendolyn Watts Johnson last refreshed?
The information related to the Gwendolyn Watts Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.