Stephen B Johnson in Athens - Sports Medicine
Stephen B Johnson - NPI 1588787899
Stephen B Johnson is a Sports Medicine in Athens, Georgia. Stephen B Johnson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephen B Johnson is 1588787899. The last update date is 2021-12-22.
Stephen B Johnson's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for Stephen B Johnson is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen B Johnson |
|---|---|
| Address | 1765 Old West Broad St Bldg 2-200, Athens, Georgia |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1588787899 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 1765 Old West Broad St Bldg 2-200 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306062887 |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 59800 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12098767 | CAQH NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stephen B Johnson by the Centers for Medicare & Medicaid Services?
The Stephen B Johnson has been assigned the NPI (National Provider Identifier) 1588787899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Stephen B Johnson?
The Stephen B Johnson is physically situated at 1765 Old West Broad St Bldg 2-200, in the city of Athens, state of GA, with the postal code 306062887.
What is Stephen B 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 Stephen B Johnson is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
On what date did Stephen B Johnson receive its 1588787899 assignment from the Centers for Medicare & Medicaid Services?
The Stephen B Johnson was assigned its 1588787899 on 2007-04-10, 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 Stephen B Johnson most recently updated or refreshed?
The details pertaining to the Stephen B Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-22.