Individual
VINCENT B. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1239 CEDAR RD, CHESAPEAKE, VA 23322-7103
(757) 549-9935
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052432
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7308213
—
VA
Enumeration date
04/21/2006
Last updated
02/10/2022
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