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Individual

WHITNEY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008622
VA
363A00000X
Physician Assistant
C07009
MD
363A00000X
Physician Assistant
Primary
PA200001475
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C07009
LICENSE
MD
Enumeration date
09/13/2018
Last updated
06/23/2022
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