Organization
MATTHEW JOHNSON
Active
Other names
Great Neck Insurance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ELLIS JOHNSON (PRESIDENT)
(757) 481-6252
Entity
Organization
Contact information
Practice address
1305 MEADOW LAKE RD, VIRGINIA BEACH, VA 23454-2069
(757) 481-6252
Mailing address
1305 MEADOW LAKE RD, VIRGINIA BEACH, VA 23454-2069
(757) 481-6252
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
942091
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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