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Carnell Johnson
NPI 1033971759 · on the registry since 2024
Practice
- Address
- 2151 Old Brick Rd
Glen Allen, VA 23060 - Phone
- (804) 727-6853
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia