SearchMarylandMedical Physician Assistant

Craig Johnson, PA-C

NPI 1306021753 · on the registry since 2008

Practice

Address
10614 Racetrack Road
Berlin, MD 21811
Phone
(410) 208-9761
Fax
(410) 208-9764
Organisation at this address
Tidalhealth Atlantic, Inc.
Tidalhealth Atlantic, Inc.
Tidalhealth Primary Care, Llc
Tidalhealth Primary Care, Llc
Tidalhealth Specialty Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-15

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