Clyde D Johnson is a Surgical in Atlanta, Georgia. Clyde D Johnson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Clyde D Johnson is 1821256223. The last update date is 2017-09-22.
Clyde D Johnson's current location address is 5881 Glendrige Dr Ne, Atlanta, Georgia. You can contact this provider via phone number 4043037703. The mailing address for Clyde D Johnson is 5881 Glendrige Dr Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde D Johnson |
|---|---|
| Address | 5881 Glendrige Dr Ne, Atlanta, Georgia |
| Phone Number | 4043037703 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CSA |
NPI Number Detail
| NPI Number | 1821256223 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2017-09-22 |
Provider Mailing Address Detail
| Address | 5881 Glendrige Dr Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30328 |
| Phone Number | 4043037703 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 2625-2 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 359555800 | GA | DEPT OF LABOR |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clyde D Johnson by the Centers for Medicare & Medicaid Services?
The Clyde D Johnson has been assigned the NPI (National Provider Identifier) 1821256223 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Clyde D Johnson is physically located?
The Clyde D Johnson is situated at the following address: 5881 Glendrige Dr Ne, Atlanta, GA 30328.
What is the Clyde D Johnson's area of specialization and corresponding taxonomy classification?
The Clyde D Johnson's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1821256223 assigned to Clyde D Johnson?
The Clyde D Johnson was issued its 1821256223 on 2008-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clyde D Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clyde D Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-09-22.
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