Johnson, Quan

Johnson, Quan is an individual health care provider with primary practice located at 5135 Wrightsboro Rd Ste B , Grovetown GA 30813-2803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Quan can be contacted via phone (706) 854-2500.

Contact Information

Primary practice address
5135 Wrightsboro Rd Ste B Grovetown GA 30813-2803
Phone: (706) 854-2500
Fax: (706) 854-2559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 94866 Georgia

Profile Details

NPI number 1699932418
LBN Legal business name Johnson, Quan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699932418 NPPES
Georgia MEDICAID 003284191D
Georgia MEDICAID 003284191A
Georgia MEDICAID 003284191B

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