Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 SAINT PAULS RD, WARSAW, VA 22572-4436
(804) 761-4872
(804) 493-8361
Mailing address
7443 LEE DAVIS ROAD, SUITE 200, MECHANICSVILLE, VA 23111
(866) 810-8305
(877) 316-3453
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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