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Contact Information

ANITA JOHNSON, MD
120 N MEDICAL PKWY BLDG 100
SUITE 201
WOODSTOCK, GA30189-7062
 Phone: 678-445-0976
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANITA JOHNSON · (Female)

NPI # 1457401630
Status Active
Credentials MD
Entity Individual
Enumeration date 01/11/2007
Last updated 12/31/2009 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 53464
Hospital affiliation(s)
  • SOUTHEASTERN REGIONAL MEDICAL CENTER - (Acute Care)
    600 PARKWAY NORTH
    NEWNAN, GA 30265
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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