Individual
GABRIELLE MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Mailing address
4000 COLISEUM DR STE 445, HAMPTON, VA 23666-5981
(757) 827-2127
(757) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101254227
VA
207Q00000X
Family Medicine Physician
260476
MA
208M00000X
Hospitalist Physician
0101254227
VA
Other
Enumeration date
04/13/2010
Last updated
04/19/2024
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