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Individual

SHAWN EVETTE JOHNSON

Active
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Individual

SHAWN EVETTE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101252896
VA
207X00000X
Orthopaedic Surgery Physician
23310
NE
207X00000X
Orthopaedic Surgery Physician
P3902
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD.205784
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
P3902
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05024837
MS
05
1609927342
VA
05
2334361
LA
05
3925117
TX
Enumeration date
01/16/2007
Last updated
03/29/2025
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