Individual
MR. NATHAN MERRITT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0116030218
VA
207N00000X
Dermatology Physician
E-13799
AR
Other
Enumeration date
03/24/2017
Last updated
08/21/2024
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