Individual
ANDREW PHILLIP JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1510 SKYLARK CT, CHESAPEAKE, VA 23321-1245
(757) 567-2129
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-008093
VA
Other
Enumeration date
06/27/2021
Last updated
10/01/2021
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