Individual
CRAIG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10614 RACETRACK ROAD, BERLIN, MD 21811
(410) 208-9761
(410) 208-9764
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811
(410) 641-0430
(410) 641-3871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001907
MD
Other
Enumeration date
01/04/2008
Last updated
08/15/2024
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