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Priscilla Phan Johnson, PA
Physician Assistant in Martinez, Georgia
NPI 1578098695

Priscilla Phan Johnson is a Physician Assistant based in Pensacola, GA. Priscilla Phan Johnson practices in Martinez, GA and has the professional credentials of PA. The NPI Number for Priscilla Phan Johnson is 1578098695 and holds a License No. 11803 (Georgia).

The current practice location address for Priscilla Phan Johnson is 1100 W Lake Commons Dr, Martinez, GA and can be reached out via phone at 706-250-6919.

Location: 1100 W Lake Commons Dr, Martinez, GA, 32524-1037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578098695
Provider Name
Priscilla Phan Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1100 W Lake Commons Dr, Martinez, GA, 32524-1037
Phone Number
706-250-6919
Fax Number
Provider Enumeration Date
04/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020947500 05 FL
PA9110351 01 FL FLORIDA STATE DOH MEDICAL LICENSURE
institution
Provider Business Practice Location Address Details
Address
1100 W Lake Commons Dr
City
Martinez
State
Georgia
Zip
30907-7932
Phone Number
706-250-6919
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W Lake Commons Dr
City
Martinez
State
Georgia
Zip
30907-7932
Phone Number
706-250-6919
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PA9110351 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9110351 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
11803 (Georgia)
Definition
Definition to come...
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