NPI 1003103870

Courtney Parham Johnson, PAC

Practitioner Physician Assistant Calhoun, GA

Practice location

Address: 204 Professional CT SE, Calhoun, GA 30701-7020
Phone: (706) 625-5900
Fax: (706) 625-6519
Mailing address: 346 Peachtree Ln SE, Calhoun, GA 30701-4388

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 006117 (GA)

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Registry record

NPI: 1003103870
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2011
Record last updated: 13 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.