Individual
MR. GEORGE S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
543 ALBROUGH BLVD, COLONIAL BEACH, VA 22443-3601
(804) 410-2086
(804) 410-2093
Mailing address
701 FOXHALL RD, COLONIAL BEACH, VA 22443-5528
(804) 410-2086
(804) 410-2093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1085546
—
VA
Enumeration date
10/07/2017
Last updated
09/08/2020
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