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Individual

SOPHIA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 320-7680
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS018396
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS018396
PA

Other

Enumeration date
05/02/2013
Last updated
03/31/2025
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