Candace J Johnson in Stockbridge - Pediatrics
Candace J Johnson - NPI 1730162702
Candace J Johnson is a Pediatrics in Stockbridge, Georgia. Candace J Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Candace J Johnson is 1730162702. The last update date is 2021-01-03.
Candace J Johnson's current location address is 225 Country Club Dr Ste 200, Stockbridge, Georgia. You can contact this provider via phone number 6787827137 and fax number 6787827135. The mailing address for Candace J Johnson is 225 Country Club Dr Ste 200, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace J Johnson |
|---|---|
| Address | 225 Country Club Dr Ste 200, Stockbridge, Georgia |
| Phone Number | 6787827137 |
| Fax Number | 6787827135 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730162702 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2021-01-03 |
Provider Mailing Address Detail
| Address | 225 Country Club Dr Ste 200 |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302817302 |
| Phone Number | 6787827137 |
| Fax Number | 6787827135 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 50389 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000917782C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Candace J Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Candace J Johnson has been assigned the NPI (National Provider Identifier) 1730162702. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Candace J Johnson is physically located?
The Candace J Johnson is physically situated at the following address: 225 Country Club Dr Ste 200, Stockbridge, GA, 302817302.
What is Candace J Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Candace J Johnson is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730162702 to Candace J Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1730162702 to Candace J Johnson on 2005-11-23.
When was the Candace J Johnson's information last updated?
The Candace J Johnson's information was last updated on 2021-01-03.