Theodore Samuel Johnson in Augusta - Pediatric Hematology-oncology
Theodore Samuel Johnson - NPI 1255453759
Theodore Samuel Johnson is a Pediatric Hematology-oncology in Augusta, Georgia. Theodore Samuel Johnson practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Theodore Samuel Johnson is 1255453759. The last update date is 2017-06-15.
Theodore Samuel Johnson's current location address is 1120 Fifteenth Street, Cn-4141a, Augusta, Georgia. You can contact this provider via phone number 7067213626 and fax number 7067214804. The mailing address for Theodore Samuel Johnson is 1120 Fifteenth Street, Cn-4141a, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Samuel Johnson |
|---|---|
| Address | 1120 Fifteenth Street, Cn-4141a, Augusta, Georgia |
| Phone Number | 7067213626 |
| Fax Number | 7067214804 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1255453759 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2017-06-15 |
Provider Mailing Address Detail
| Address | 1120 Fifteenth Street, Cn-4141a |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 30912 |
| Phone Number | 7067213626 |
| Fax Number | 7067214804 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 64115 |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Theodore Samuel Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore Samuel Johnson has been assigned the NPI (National Provider Identifier) 1255453759. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Theodore Samuel Johnson is physically located?
The Theodore Samuel Johnson is situated at the following address: 1120 Fifteenth Street, Cn-4141A, Augusta, GA 30912.
What is Theodore Samuel Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theodore Samuel Johnson is Pediatric Hematology-oncology, and the corresponding taxonomy classification code for this specialized field is 2080P0207X.
On what date did Theodore Samuel Johnson receive its 1255453759 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Samuel Johnson was assigned its 1255453759 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Theodore Samuel Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore Samuel Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-06-15.