Individual
DR. BEVERLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4260
(757) 934-9395
Mailing address
PO BOX 100279, GAINESVILLE, FL 32610-0279
(352) 594-1942
(352) 594-1926
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101283661
VA
207N00000X
Dermatology Physician
Primary
ME134621
FL
207NS0135X
Procedural Dermatology Physician
13244
MD
207NS0135X
Procedural Dermatology Physician
ME134621
FL
Other
Enumeration date
09/07/2006
Last updated
10/04/2024
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