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Individual

MRS. SARA BETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8266 ATLEE RD STE 230, MECHANICSVILLE, VA 23116-1813
(804) 789-5990
(804) 789-5989
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009864
VA
363AM0700X
Medical Physician Assistant
2393
WV

Other

Enumeration date
01/19/2020
Last updated
08/16/2024
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