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Avery Johnson

NPI 1962145920 · on the registry since 2022 · sole proprietor

Practice

Address
110 Coliseum Xing
Ste 138
Hampton, VA 23666
Phone
(757) 210-4233
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-18

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