Organization
ATLANTIC FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RYAN JOHNSON M.D. (PRESIDENT)
(757) 493-1965
Entity
Organization
Contact information
Practice address
837 FIRST COLONIAL RD, SUITE B, VIRGINIA BEACH, VA 23451-6195
(757) 493-1965
(757) 544-9873
Mailing address
837 FIRST COLONIAL RD, SUITE B, VIRGINIA BEACH, VA 23451-6195
(757) 493-1965
(757) 544-9873
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101239405
VA
Other
Enumeration date
12/04/2014
Last updated
04/29/2015
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