William Kent Johnson in Evans - Pediatric Radiology

William Kent Johnson - NPI 1154385193

William Kent Johnson is a Pediatric Radiology in Evans, Georgia. William Kent Johnson practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for William Kent Johnson is 1154385193. The last update date is 2013-10-31.

William Kent Johnson's current location address is 4350 Towne Centre Dr, Evans, Georgia. You can contact this provider via phone number 7068683940. The mailing address for William Kent Johnson is 4350 Towne Centre Dr, Evans, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name William Kent Johnson
Address 4350 Towne Centre Dr, Evans, Georgia
Phone Number 7068683940
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154385193
Provider Enumeration Date 2006-04-14
Last Updated Date 2013-10-31

Provider Mailing Address Detail

Address 4350 Towne Centre Dr
City Evans
State Georgia (GA)
Post Code 308093301
Phone Number 7068683940
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Radiology
Taxonomy 2085P0229X
Licence No 37245
Definition:
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G38570 SC --
10058795 AMERIGROUP
451451 GA BLUE CROSS BLUE SHIELD
00517569B GA --
00517569C GA --
1265540314 NPI - BROWN & RADIOLOGY
00517569D GA --

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FAQs about William Kent Johnson

What is the unique 10-digit identification code assigned to William Kent Johnson by the Centers for Medicare & Medicaid Services?

The William Kent Johnson has been issued the NPI (National Provider Identifier) 1154385193, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of William Kent Johnson?

The William Kent Johnson is situated at 4350 Towne Centre Dr, in the city of Evans, state of GA, with the zip code 308093301.

What is William Kent Johnson's area of expertise and its corresponding taxonomy classification?

The William Kent Johnson's field of specialization is Pediatric Radiology, and it falls under the taxonomy code 2085P0229X, which categorizes healthcare providers based on their areas of practice.

On what date did William Kent Johnson receive its 1154385193 assignment from the Centers for Medicare & Medicaid Services?

The William Kent Johnson was assigned its 1154385193 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding William Kent Johnson most recently updated?

The details pertaining to the William Kent Johnson, including its address, specialty, and other relevant information, were last refreshed on 2013-10-31.

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