Samuel Johnson in Stone Mountain - General Practice
Samuel Johnson - NPI 1477749810
Samuel Johnson is a General Practice in Stone Mountain, Georgia. Samuel Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Samuel Johnson is 1477749810. The last update date is 2007-09-19.
Samuel Johnson's current location address is 5300 Memorial Dr, Stone Mountain, Georgia. You can contact this provider via phone number 6787040306. The mailing address for Samuel Johnson is 5300 Memorial Dr, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Johnson |
|---|---|
| Address | 5300 Memorial Dr, Stone Mountain, Georgia |
| Phone Number | 6787040306 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477749810 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 5300 Memorial Dr |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300833148 |
| Phone Number | 6787040306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 37841 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Samuel Johnson?
The Samuel Johnson has been issued the NPI (National Provider Identifier) 1477749810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Samuel Johnson is physically located?
The Samuel Johnson is physically situated at the following address: 5300 Memorial Dr, Stone Mountain, GA, 300833148.
What is Samuel Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Samuel Johnson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did Samuel Johnson receive its 1477749810 assignment from the Centers for Medicare & Medicaid Services?
The Samuel Johnson was assigned its 1477749810 on 2007-09-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Samuel Johnson's information last updated?
The Samuel Johnson's information was last updated on 2007-09-19.