Individual
RANDALL WAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, 2ND FLOOR, RICHMOND, VA 23225
(804) 323-8893
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8893
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101230804
VA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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