# VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC

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

## Provider details

- **NPI number:** 1396774667
- **Authorized official:** DR. BRIAN L. JOHNSON M.D. (PRESIDENT)
- **Authorized official phone:** (757) 455-5009

## Contact information

- **Practice address:** 9724 BAY POINT DR, NORFOLK, VA 23518-2013
- **Practice address phone:** (757) 404-7725
- **Practice address fax:** (757) 362-3577
- **Mailing address:** 241 CORPORATE BLVD, SUITE 215, NORFOLK, VA 23502-4954
- **Mailing address phone:** (757) 455-5009
- **Mailing address fax:** (757) 362-3577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101042937 | VA | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/22/2020