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Gary Johnson

NPI 1306156930 · on the registry since 2010 · sole proprietor

Practice

Address
1430 Dighton Ct
Virginia Beach, VA 23464
Phone
(757) 202-6880
Fax
(757) 963-9092

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-17

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 Virginia