Individual
MR. WAYNE MILTON JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
1625 N GEORGE MASON DR STE 334, ARLINGTON, VA 22205-3690
(703) 717-4180
(703) 717-4181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005872
VA
363A00000X
Physician Assistant
1070743
—
363AS0400X
Surgical Physician Assistant
031346
DC
Other
Enumeration date
04/19/2006
Last updated
03/13/2024
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