Individual
DR. SAMUEL ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
54909
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123548B
—
GA
05
—
003123548C
—
GA
05
—
003123548D
—
GA
05
—
003123548E
—
GA
05
—
003123548F
—
GA
05
—
003123548G
—
GA
05
—
003123548H
—
GA
05
—
003123548I
—
GA
05
—
003123548J
—
GA
05
—
003123548K
—
GA
05
—
003123548L
—
GA
05
—
003123548M
—
GA
05
—
003123548N
—
GA
05
—
003123548O
—
GA
05
—
003123548P
—
GA
05
—
003123548Q
—
GA
05
—
003123548R
—
GA
05
—
003123548S
—
GA
05
—
003123548T
—
GA
05
—
003123548U
—
GA
05
—
003123548V
—
GA
01
—
29879
MEDICAL LICENSE
SC
01
—
54909
MD
GA
Enumeration date
04/20/2007
Last updated
08/01/2019
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