Terry, Johnny Roger
Terry, Johnny Roger is an individual health care provider with primary practice located at 115 W Oglethorpe Hwy , Hinesville GA 31313. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Terry, Johnny Roger can be contacted via phone (912) 334-0524.Contact Information
Primary practice address
115 W Oglethorpe Hwy
Hinesville GA 31313
Phone: (912) 334-0524
Fax: (508) 355-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW001177 | Georgia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1104459932 |
|---|---|
| LBN Legal business name | Terry, Johnny Roger |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2020 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104459932 | NPPES |
| Georgia | Other | 0001177 | 2273 |
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