Individual
MR. WESLEY RAY JOSEPH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
720 WYNDHURST DR, LYNCHBURG, VA 24502-2698
(910) 616-8045
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007452
VA
Other
Enumeration date
01/10/2020
Last updated
09/08/2020
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