Shauntae Mclamore Johnson in Augusta - Physician Assistant
Shauntae Mclamore Johnson - NPI 1104959931
Shauntae Mclamore Johnson is a Physician Assistant in Augusta, Georgia. Shauntae Mclamore Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shauntae Mclamore Johnson is 1104959931. The last update date is 2020-04-30.
Shauntae Mclamore Johnson's current location address is Po Box 3726, Augusta, Georgia. You can contact this provider via phone number 7068639595 and fax number 8887453917. The mailing address for Shauntae Mclamore Johnson is Po Box 3726, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shauntae Mclamore Johnson |
|---|---|
| Address | Po Box 3726, Augusta, Georgia |
| Phone Number | 7068639595 |
| Fax Number | 8887453917 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1104959931 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-04-30 |
Provider Mailing Address Detail
| Address | Po Box 3726 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309143726 |
| Phone Number | 7068639595 |
| Fax Number | 8887453917 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4154 |
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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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What is the Shauntae Mclamore Johnson's unique identification number?
The Shauntae Mclamore Johnson has been assigned the NPI (National Provider Identifier) Number 1104959931 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Shauntae Mclamore Johnson located?
The Shauntae Mclamore Johnson is located at Po Box 3726, Augusta, GA 309143726.
What is the Shauntae Mclamore Johnson's specialty and taxonomy code?
The Shauntae Mclamore Johnson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Shauntae Mclamore Johnson receive its 1104959931 assignment from the Centers for Medicare & Medicaid Services?
The Shauntae Mclamore Johnson was assigned its 1104959931 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shauntae Mclamore Johnson most recently updated or revised?
The information pertaining to Shauntae Mclamore Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-30.
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