Johnson, Samuel A

Johnson, Samuel A is an individual health care provider with primary practice located at 600 Leigh Dr , Columbus MS 39705-3014. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Samuel A can be contacted via phone (662) 327-7525.

Contact Information

Primary practice address
600 Leigh Dr Columbus MS 39705-3014
Phone: (662) 327-7525
Fax: (662) 243-2252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13781 Mississippi

Profile Details

NPI number 1083638217
LBN Legal business name Johnson, Samuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 10th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083638217 NPPES
Mississippi Other 730-06661 BLUE CROSS OF ALABAMA
Mississippi MEDICAID 00114403 BLUE CROSS OF ALABAMA
Mississippi Other 009914955 BLUE CROSS OF ALABAMA
Mississippi Other 640813832 BLUE CROSS OF ALABAMA
Mississippi Other 100015721 BLUE CROSS OF ALABAMA

Popular Providers