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Shannon Johnson, IDC
NPI 1164635520 · on the registry since 2007
Practice
- Address
- 1004 Hermitage Rd
Bldg 2052
Norfolk, VA 23521 - Phone
- (757) 462-3178
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2007-07-08
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