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Contact Information

WILLIAM R JOHNSON, PhD
1421 LEE STREET
BRUNSWICK, GA31520
 Phone: 912-265-0007
 Fax: 912-261-0593
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILLIAM R JOHNSON · (Male)

NPI # 1760577092
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY000541
  • GA Other 10044538 AMERIGROUP
  • GA Other 52290777 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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