Individual
TOMMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 JAMESTOWN RD, STE 103, WILLIAMSBURG, VA 23185-3362
(757) 229-1259
(757) 229-1303
Mailing address
1313 JAMESTOWN RD, STE 103, WILLIAMSBURG, VA 23185-3362
(757) 229-1259
(757) 229-1303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097833
BCBS
VA
05
—
5628199
—
VA
Enumeration date
07/28/2006
Last updated
07/08/2007
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