Individual
JOI ADRIA JOHNSON-WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8615 RIDGELYS CHOICE DR, SUITE 105, BALTIMORE, MD 21236-3026
(410) 256-3200
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C10007760
DE
207Q00000X
Family Medicine Physician
Primary
D0068458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038995
—
DE
05
—
790020100
—
MD
Enumeration date
09/28/2006
Last updated
11/08/2018
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