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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRISCILLA PHAN JOHNSON, PA

Active

PRISCILLA PHAN JOHNSON, PA is a Physician Assistant healthcare provider located in MARTINEZ, Georgia. NPI 1578098695 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MARTINEZ, GA

Registration Details

NPI Number
1578098695
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2017 (9.3137118033908 yrs)
Last Updated
Dec 1, 2023
Licenses
11803 (GA)
PA9110351 (FL)
PA9110351 (FL)
11803 (GA)

Practice Information

Address
1100 W LAKE COMMONS DR
MARTINEZ, GA, 309077932
Browse GA providers · Browse ZIP 30907
Phone
7062506919
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MARTINEZ, GA

Name Credential NPI
STEPHANIE MICHELLE ZIMMERMAN PA-C 1396299061
CAITLYN RUSSELL 1639700925
AMIELLE LYDIA SMITH PAC 1861009375
ERICA BROWN PA-C 1437984317
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.