James-Johnson, Corella

James-Johnson, Corella is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Benning GA 31905-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. James-Johnson, Corella can be contacted via phone (762) 408-2273.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Benning GA 31905-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003337 Georgia

Profile Details

NPI number 1730114745
LBN Legal business name James-Johnson, Corella
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 19th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730114745 NPPES
Georgia MEDICAID 964228085A
Georgia MEDICAID 964228085C

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