Individual
DR. WILLIAM B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4532 PLANK RD, FREDERICKSBURG, VA 22407-0139
(540) 252-1840
(540) 252-1841
Mailing address
4532 PLANK RD, FREDERICKSBURG, VA 22407-0139
(540) 252-1840
(540) 252-1841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101236688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005614690
AETNA NON HMO
VA
01
—
000828306
AETNA CAP
VA
05
—
010101476
—
VA
01
—
0101236688
LICENSE
VA
01
—
146228
ANTHEM
VA
01
—
3681738
AETNA HMO
VA
01
—
8129248
MAMSI
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/19/2006
Last updated
03/12/2019
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