Johnson, Madison
Johnson, Madison is an individual health care provider with primary practice located at 613 Cook St , Royston GA 30662-3933. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Madison can be contacted via phone (706) 491-5409.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP008142 | Georgia |
Profile Details
| NPI number | 1720336621 |
|---|---|
| LBN Legal business name | Johnson, Madison |
| Credentials | M.ED.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2012 |
| Last updated | Jun 24th, 2024 - about 2 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 | 1720336621 | NPPES |
| Georgia | MEDICAID | 003135730A |
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