Individual
DR. BRIAN L JOHNSON
Active
Individual
DR. BRIAN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101042937
VA
207N00000X
Dermatology Physician
048364
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101042937
VA
207ND0101X
MOHS-Micrographic Surgery Physician
048364
GA
207ND0900X
Dermatopathology Physician
048364
GA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
048364
GA
207NP0225X
Pediatric Dermatology Physician
049364
GA
207NS0135X
Procedural Dermatology Physician
048364
GA
208D00000X
General Practice Physician
048364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528051176
—
GA
Enumeration date
02/09/2006
Last updated
10/05/2020
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