Individual
VIRGINIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 DICKERSON PIKE STE 190, NASHVILLE, TN 37207-2533
(615) 301-8269
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6280
TN
Other
Enumeration date
08/22/2024
Last updated
12/26/2024
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