Individual
ELIZABETH COLELLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3022 WILLIAMS DR #300, FAIRFAX, VA 22031
(703) 573-9800
(703) 738-5777
Mailing address
3022 WILLIAMS DR #300, FAIRFAX, VA 22031
(703) 573-9800
(703) 738-5777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840542
VA
Other
Enumeration date
09/19/2007
Last updated
11/27/2023
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