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Contact Information

EDDIE P JOHNSON III, DMD, PC
2755 BARTON CHAPEL RD
AUGUSTA, GA30906
 Phone: 706-790-9179
 Fax: 706-790-3408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for EDDIE P JOHNSON III, DMD, PC

NPI Number 1811266646
LBN Legal business name EDDIE P JOHNSON III, DMD, PC
Authorized official EDDIE JOHNSON - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2011
Last updated 12/23/2011 - About 14 years ago
Identifiers
GA License # 009685
GA Medicaid 00254526C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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