Individual
YVETTE C. JOHNSON-THREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1510 N 28TH ST, SUITE 308, RICHMOND, VA 23223-5311
(804) 644-1665
(804) 644-5285
Mailing address
1510 N 28TH ST, SUITE 308, RICHMOND, VA 23223-5311
(804) 644-1665
(804) 644-5285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054237
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023921
—
VA
01
—
2104493
MAMSI
VA
01
—
212408
SOUTHERN HEALTH SERVICES
VA
01
—
463643
ANTHEM BCBS OF VA
VA
01
—
5487309
AETNA LIFE
VA
01
—
6246708
CIGNA
VA
01
—
65960
SENTARA
VA
01
—
P00153281
RAILROAD MEDICARE
VA
Enumeration date
07/06/2006
Last updated
11/25/2009
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