Johnson, Evan Mccarroll
Johnson, Evan Mccarroll is an individual health care provider with primary practice located at 1265 Highway 54 W Ste 500D , Fayetteville GA 30214-4537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Johnson, Evan Mccarroll can be contacted via phone (770) 506-5410.Contact Information
Primary practice address
1265 Highway 54 W Ste 500D
Fayetteville GA 30214-4537
Phone: (770) 506-5410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 62961 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 91303 | Georgia |
Profile Details
| NPI number | 1023547890 |
|---|---|
| LBN Legal business name | Johnson, Evan Mccarroll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Jul 1st, 2022 - 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.
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