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Individual

DR. CHAD JAMISON JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3706 S MAIN ST, SUITE B, BLACKSBURG, VA 24060-7006
(540) 951-3376
(540) 951-1276
Mailing address
3706 S MAIN ST, SUITE B, BLACKSBURG, VA 24060-7006
(540) 951-3376
(540) 951-1276

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102202352
VA
207ND0101X
MOHS-Micrographic Surgery Physician
012202352
VA

Other

Enumeration date
06/05/2006
Last updated
11/05/2020
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