Johnson, Robert William

Johnson, Robert William is an individual health care provider with primary practice located at 1350 Walton Way Wound And Hyperbaric, Augusta GA 30901-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Johnson, Robert William can be contacted via phone (706) 774-7242.

Contact Information

Primary practice address
1350 Walton Way Wound And Hyperbaric Augusta GA 30901-2612
Phone: (706) 774-7242
Fax: (706) 774-7243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 015209 Georgia

Profile Details

NPI number 1467450742
LBN Legal business name Johnson, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 3rd, 2014 - about 12 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 1467450742 NPPES
Georgia MEDICAID 000176074C
Georgia MEDICAID G15209

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