# ATLANTIC FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1407253503
- **Authorized official:** DR. JASON RYAN JOHNSON M.D. (PRESIDENT)
- **Authorized official phone:** (757) 493-1965

## Contact information

- **Practice address:** 837 FIRST COLONIAL RD, SUITE B, VIRGINIA BEACH, VA 23451-6195
- **Practice address phone:** (757) 493-1965
- **Practice address fax:** (757) 544-9873
- **Mailing address:** 837 FIRST COLONIAL RD, SUITE B, VIRGINIA BEACH, VA 23451-6195
- **Mailing address phone:** (757) 493-1965
- **Mailing address fax:** (757) 544-9873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 0101239405 | VA | Yes |

## Other

- **Enumeration date:** 12/04/2014
- **Last updated:** 04/29/2015