Individual
CHRISTOPHER BRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005772
VA
Other
Enumeration date
05/16/2017
Last updated
12/21/2021
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