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Individual

MR. GEORGE VINCENT JOHNSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SRNA

Contact information

Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8001
(757) 368-4100
Mailing address
95 JEFFERYS DR, NEWPORT NEWS, VA 23601-2726

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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