Individual
PAMELA CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3742 10TH ST NE, WASHINGTON, DC 20017-1820
(202) 269-0358
Mailing address
1924 BRUCE PL SE, WASHINGTON, DC 20020-2852
(202) 531-5033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101237027
VA
207Q00000X
Family Medicine Physician
0101237027
VA
207Q00000X
Family Medicine Physician
D44855
MD
207Q00000X
Family Medicine Physician
Primary
MD047674
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010150302
—
VA
05
—
1104878065
—
VA
01
—
P00246395
RAILROAD MEDICARE
VA
Enumeration date
05/17/2006
Last updated
12/17/2021
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