Peter Charles Johnson in Stone Mountain - Specialist

Peter Charles Johnson - NPI 1669563029

Peter Charles Johnson is a Specialist in Stone Mountain, Georgia. Peter Charles Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter Charles Johnson is 1669563029. The last update date is 2008-05-05.

Peter Charles Johnson's current location address is Po Box 1390, Stone Mountain, Georgia. You can contact this provider via phone number 7063691200 and fax number 7063690540. The mailing address for Peter Charles Johnson is Po Box 1390, Stone Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Charles Johnson
Address Po Box 1390, Stone Mountain, Georgia
Phone Number 7063691200
Fax Number 7063690540
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1669563029
Provider Enumeration Date 2006-09-28
Last Updated Date 2008-05-05

Provider Mailing Address Detail

Address Po Box 1390
City Stone Mountain
State Georgia (GA)
Post Code 300861390
Phone Number 7063691200
Fax Number 7063690540

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 34378
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000483755M GA --

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FAQs about Peter Charles Johnson

What is the unique 10-digit identifier code issued to Peter Charles Johnson by the Centers for Medicare & Medicaid Services?

The Peter Charles Johnson has been assigned the NPI (National Provider Identifier) 1669563029 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Peter Charles Johnson located?

The Peter Charles Johnson is located at Po Box 1390, Stone Mountain, GA 300861390.

What is Peter Charles Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Peter Charles Johnson is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Peter Charles Johnson receive its 1669563029 assignment from the Centers for Medicare & Medicaid Services?

The Peter Charles Johnson was assigned its 1669563029 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Peter Charles Johnson most recently updated or refreshed?

The details pertaining to the Peter Charles Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-05.

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