Johnson, Douglas

Johnson, Douglas is an sole proprietor health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Johnson, Douglas can be contacted via phone (706) 774-2176.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 774-2176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 056722 Georgia

Profile Details

NPI number 1467594218
LBN Legal business name Johnson, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jan 17th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467594218 NPPES
Other P00316885 RAILROAD MEDICARE

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