Glen Johnson, MA is a
Audiologist based in Toccoa, Georgia. Glen Johnson is licensed to practice in Georgia (license number 3575) and his current practice location is
274 Big A Road, Toccoa, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 886-7412.
NPI number for Glen Johnson is 1891788980 and his current mailing address is 274 Big A Road, Toccoa, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891788980.
Healthcare Provider's Profile
| Full Name | Glen Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
|---|
| Location | 274 Big A Road, Toccoa, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891788980
- Provider Enumeration Date: 08/24/2005
- Last Update Date: 05/09/2008
Medical Identifiers
Medical identifiers for Glen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891788980 | NPI | - | NPPES |
| 000889908A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 3575 (Georgia) | 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. Glen 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 |
|---|
Glen Johnson, MA
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-7412 | Glen Johnson, MA
274 Big A Road,
Toccoa, GA 30577-6002
Ph: (706) 886-7412 |
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