Individual
DR. DANNA ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(615) 221-4400
Mailing address
5301 VIRGINIA WAY STE 300, BRENTWOOD, TN 37027-7542
(615) 221-4400
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101041790
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101041790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220024925
RAILROAD MEDICARE
—
01
—
28794
OPTIMAHEALTH
—
Enumeration date
08/03/2005
Last updated
06/12/2019
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