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Derrick Johnson

NPI 1598555310 · on the registry since 2025

Practice

Address
5410 Lynx Ln #290
Columbia, MD 21044
Phone
(410) 910-9716

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-07

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