MRS. SHAUNTAE MCLAMORE JOHNSON PHYSICIAN ASST CERTI NPI 1104959931

NPI Information

NPI: 1104959931
Provider Name: MRS. SHAUNTAE MCLAMORE JOHNSON, PHYSICIAN ASST CERTI
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
3675 J DEWEY GRAY CIR
SUITE 300
AUGUSTA, GA
ZIP 30909
Phone: (706) 863-9595
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MRS. Shauntae Mclamore Johnson, PHYSICIAN ASST CERTI is a surgical physician assistant in Augusta, GA. MRS. Shauntae Mclamore Johnson, PHYSICIAN ASST CERTI NPI is 1104959931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3675 J DEWEY GRAY CIR
SUITE 300
AUGUSTA, GA
ZIP 30909-868
Phone: (706) 863-9595
Fax: (888) 745-3917

The enumeration date for this NPI number is 3/13/2007 and was last updated on 4/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		004154	GEORGIA	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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