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Individual
JEFFERY CHAD JOHNSON
Active
Individual
JEFFERY CHAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101255770
VA
Other
Enumeration date
01/04/2007
Last updated
12/09/2015
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