Individual
DR. JEFFREY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Mailing address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101238837
VA
207P00000X
Emergency Medicine Physician
2015-02138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010196671
—
VA
Enumeration date
07/05/2006
Last updated
08/18/2022
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