Johnson, Camille M
Johnson, Camille M is an sole proprietor health care provider with primary practice located at 5230 Dallas Hwy , Powder Springs GA 30127-4263. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Camille M can be contacted via phone (404) 948-3019.Contact Information
Primary practice address
5230 Dallas Hwy
Powder Springs GA 30127-4263
Phone: (404) 948-3019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN3105332 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201599 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN3105332 | Georgia |
Profile Details
| NPI number | 1811049448 |
|---|---|
| LBN Legal business name | Johnson, Camille M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jun 6th, 2023 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811049448 | NPPES |
| North Carolina | MEDICAID | 1811049448 |
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