Individual
DR. SAMUEL O JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 AMBULANCE DRIVE, CARROLLTON, GA 30117-3855
(770) 214-1335
(770) 214-1332
Mailing address
109 AMBULANCE DRIVE, CARROLLTON, GA 30117-3855
(770) 214-1335
(770) 214-1332
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
026137
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000531319O
—
GA
01
—
52486217003
BLUE CROSS
GA
Enumeration date
06/13/2006
Last updated
03/27/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us