Dr Samuel Johnson, MD | |
5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148 | |
(678) 704-0306 | |
Not Available |
Full Name | Dr Samuel Johnson |
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Gender | Male |
Speciality | Family Medicine |
Location | 5300 Memorial Dr, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477749810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 037841 (Georgia) | Primary |
208600000X | Surgery | 037841 (Georgia) | Secondary |
208D00000X | General Practice | 037841 (Georgia) | Secondary |
Entity Name | Hope Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154399210 PECOS PAC ID: 3779571708 Enrollment ID: O20040506000190 |
Mailing Address | Practice Location Address |
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Dr Samuel Johnson, MD 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148 Ph: (678) 704-0306 | Dr Samuel Johnson, MD 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148 Ph: (678) 704-0306 |
Dr. Khurram A Khan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Springhouse Cir, Stone Mountain, GA 30087 Phone: 770-879-4330 Fax: 678-684-3066 | |
Catherine Huggins Alexander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436 | |
Mr. Michael Lesley Baron, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Lilburn Stone Mtn Rd, Ste 100, Stone Mountain, GA 30087 Phone: 770-469-1711 Fax: 770-469-1837 | |
Dr. Edward A Corkran, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5462 Memorial Dr, Suite 202, Stone Mountain, GA 30083 Phone: 404-292-5676 Fax: 404-299-8657 | |
Dr. Raquel Maria Watson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr Ste 121, Stone Mountain, GA 30083 Phone: 404-254-4500 Fax: 404-254-4517 | |
Martha H Crenshaw, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087 Phone: 770-469-7000 Fax: 770-879-0436 | |
Dr. Brenda Dawne Telford, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 770 Village Square Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 Fax: 404-298-7658 |