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Thornell Johnson
NPI 1063203099 · on the registry since 2025
Practice
- Address
- 906 Hickory Cir
La Plata, MD 20646 - Phone
- (240) 715-2852
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-17
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 Maryland