Individual
DENISE SMITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12101 OLD LINE CTR, WALDORF, MD 20602-2552
(301) 843-2223
(301) 705-9720
Mailing address
5406 INGLEBORO CT, CAPITOL HEIGHTS, MD 20743-3047
(301) 735-1792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002293
MD
363A00000X
Physician Assistant
PA30173
DC
Other
Enumeration date
07/11/2007
Last updated
06/18/2013
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