Individual
MR. JAMES EDWARD JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA, CSA, SA-C
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000140
IL
246ZS0410X
Surgical Technologist
238.000140
IL
Other
Enumeration date
02/12/2007
Last updated
02/18/2014
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