Mr Jeremy Braxton Johnson, RD, LD is a
Dietitian, Registered based in Baxley, Georgia. Mr Jeremy Braxton Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
283 Walnut St, Baxley, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 367-4601.
NPI number for Mr Jeremy Braxton Johnson is 1457838922 and his current mailing address is 283 Walnut St, Baxley, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457838922.
Healthcare Provider's Profile
Full Name | Mr Jeremy Braxton Johnson |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 283 Walnut St, Baxley, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457838922
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 07/26/2018
Medical Identifiers
Medical identifiers for Mr Jeremy Braxton Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457838922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Braxton Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jeremy Braxton Johnson, RD, LD 283 Walnut St, Baxley, GA 31513-0954 Ph: (912) 367-4601 | Mr Jeremy Braxton Johnson, RD, LD 283 Walnut St, Baxley, GA 31513-0954 Ph: (912) 367-4601 |
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