Organization
CHANDRIA LYNN JOHNSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRIA LYNN JOHNSON (OWNER)
(850) 936-1316
Entity
Organization
Contact information
Practice address
5950 BERRYHILL MEDICAL PARK DR, SUITE B, MILTON, FL 32570
(850) 983-2238
(850) 936-5808
Mailing address
P.O. BOX 266, MILTON, FL 32572-0277
(850) 983-2238
(850) 936-5808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME90117
FL
Other
Enumeration date
11/14/2007
Last updated
05/15/2009
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