Laura Johnson in Brunswick - Physician Assistant
Laura Johnson - NPI 1750504981
Laura Johnson is a Physician Assistant in Brunswick, Georgia. Laura Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laura Johnson is 1750504981. The last update date is 2011-06-08.
Laura Johnson's current location address is 1111 Glynco Pkwy, Brunswick, Georgia. You can contact this provider via phone number 9122651357 and fax number 9122650495. The mailing address for Laura Johnson is 1111 Glynco Pkwy, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Johnson |
|---|---|
| Address | 1111 Glynco Pkwy, Brunswick, Georgia |
| Phone Number | 9122651357 |
| Fax Number | 9122650495 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750504981 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | 1111 Glynco Pkwy |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315257921 |
| Phone Number | 9122651357 |
| Fax Number | 9122650495 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4660 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4660 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the Laura Johnson's 1750504981?
The Laura Johnson's NPI (National Provider Identifier) Number is 1750504981. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Laura Johnson is physically located?
The Laura Johnson is physically situated at the following address: 1111 Glynco Pkwy, Brunswick, GA, 315257921.
What is Laura Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Laura Johnson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Laura Johnson receive its 1750504981 assignment from the Centers for Medicare & Medicaid Services?
The Laura Johnson was assigned its 1750504981 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information regarding Laura Johnson most recently updated?
The details pertaining to the Laura Johnson, including its address, specialty, and other relevant information, were last refreshed on 2011-06-08.
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