Individual provider · Type 1 NPI

Shauntae McLamore Johnson, PHYSICIAN ASST CERTI

Surgical Physician Assistant · Augusta, GA

NPI number 1104959931 Active

Practice location

3675 J Dewey Gray Cir, Suite 300
Augusta, GA 30909-1868

Call (706) 863-9595 Map

Fax (888) 745-3917

Mailing address

PO Box 3726
Augusta, GA 30914-3726

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X004154 (GA)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1104959931

Shauntae McLamore Johnson, PHYSICIAN ASST CERTI's National Provider Identifier is 1104959931, issued on Mar 13, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Apr 30, 2020.