# CHANDRIA LYNN JOHNSON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285815662
- **Authorized official:** CHANDRIA LYNN JOHNSON (OWNER)
- **Authorized official phone:** (850) 936-1316

## Contact information

- **Practice address:** 5950 BERRYHILL MEDICAL PARK DR, SUITE B, MILTON, FL 32570
- **Practice address phone:** (850) 983-2238
- **Practice address fax:** (850) 936-5808
- **Mailing address:** P.O. BOX 266, MILTON, FL 32572-0277
- **Mailing address phone:** (850) 983-2238
- **Mailing address fax:** (850) 936-5808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME90117 | FL | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 05/15/2009