Individual
DR. DOUGLAS A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8220 MEADOWBRIDGE RD, SUITE 308, MECHANICSVILLE, VA 23116-2336
(804) 764-7686
(804) 764-7689
Mailing address
8220 MEADOWBRIDGE RD, SUITE 308, MECHANICSVILLE, VA 23116-2336
(804) 764-7686
(804) 764-7689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
07/05/2006
Last updated
01/15/2010
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