Individual
MRS. MADISON LLOYD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
13048 RIVERS BEND RD, CHESTER, VA 23836-2564
(804) 526-5888
Mailing address
PO BOX 980153, RICHMOND, VA 23298-0153
(804) 586-7060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007490
VA
Other
Enumeration date
10/28/2020
Last updated
02/18/2021
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