Johnson Wade, Milan

Johnson Wade, Milan is an individual health care provider with primary practice located at 5959 Highway 53 E Ste 100 , Dawsonville GA 30534-6288. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Johnson Wade, Milan can be contacted via phone (706) 381-6125.

Contact Information

Primary practice address
5959 Highway 53 E Ste 100 Dawsonville GA 30534-6288
Phone: (706) 381-6125
Fax: (706) 531-0075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN234027 Georgia

Profile Details

NPI number 1174024780
LBN Legal business name Johnson Wade, Milan
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Jan 19th, 2023 - about 3 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 1174024780 NPPES
Georgia MEDICAID 003202448A

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