Individual
DR. JASON R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
837 FIRST COLONIAL RD STE B, VIRGINIA BEACH, VA 23451
(757) 961-5141
(757) 544-9873
Mailing address
837 FIRST COLONIAL RD STE B, VIRGINIA BEACH, VA 23451-6195
(757) 961-5141
(757) 544-9873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239405
VA
207R00000X
Internal Medicine Physician
200500866
NC
Other
Enumeration date
08/17/2005
Last updated
03/29/2019
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