Individual
BENJAMIN LEVI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2208 LONGWOOD RD, LYNCHBURG, VA 24503-4220
(434) 944-3122
Mailing address
2208 LONGWOOD RD, LYNCHBURG, VA 24503-4220
(434) 944-3122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1161087
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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