Johnson, Laura

Johnson, Laura is an individual health care provider with primary practice located at 1111 Glynco Pkwy Suite 400, Brunswick GA 31525-7921. 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. Johnson, Laura can be contacted via phone (912) 265-1357.

Contact Information

Primary practice address
1111 Glynco Pkwy Suite 400 Brunswick GA 31525-7921
Phone: (912) 265-1357
Fax: (912) 265-0495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004660 Georgia

Profile Details

NPI number 1750504981
LBN Legal business name Johnson, Laura
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 8th, 2011 - about 15 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 1750504981 NPPES
Georgia Other 004660 STATE LICENSE

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