Dr William R Johnson, PHD | |
1421 Lee Street, Brunswick, GA 31520 | |
(912) 265-0007 | |
(912) 261-0593 |
Full Name | Dr William R Johnson |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1421 Lee Street, Brunswick, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760577092 | NPI | - | NPPES |
10044538 | Other | GA | AMERIGROUP |
52290777 | Other | GA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY000541 (Georgia) | Primary |
Entity Name | William R. Johnson, Ph.d., Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407019771 PECOS PAC ID: 7911067962 Enrollment ID: O20081120000231 |
Mailing Address | Practice Location Address |
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Dr William R Johnson, PHD 1421 Lee Street, Brunswick, GA 31520 Ph: (912) 265-0007 | Dr William R Johnson, PHD 1421 Lee Street, Brunswick, GA 31520 Ph: (912) 265-0007 |
Ms. Maria C Coughenour, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 106 Shoppers Way Ste 115, Brunswick, GA 31525 Phone: 912-265-7660 Fax: 912-265-7858 | |
Dr. Brendan Clark Engen, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 108c Anderson Way, Brunswick, GA 31520 Phone: 912-285-1610 Fax: 912-285-2595 | |
Dr. Diana L. Walther, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1421 Lee Street, Brunswick, GA 31520 Phone: 912-265-0007 Fax: 912-261-0593 | |
Elizabeth Banks Ryland, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3226 Hampton Ave Ste F, Brunswick, GA 31520 Phone: 912-264-9724 Fax: 912-264-4071 |