person
Dr. Teddy R Johnson, DPM
Foot & Ankle Surgery Podiatrist in Wytheville, Virginia
NPI 1073576062

Teddy R Johnson is a Foot & Ankle Surgery Podiatrist based in Wytheville, VA and is specialized in Foot & Ankle Surgery. Teddy R Johnson practices in Wytheville, VA and has the professional credentials of DPM. The NPI Number for Teddy R Johnson is 1073576062 and holds a License No. 0103000769 (Virginia).

The current practice location address for Teddy R Johnson is 680 W Monroe St, Wytheville, VA and can be reached out via phone at 276-228-2212 and via fax at 276-228-7835.

Location: 680 W Monroe St, Wytheville, VA, 24382-2240
person
Provider Profile Details
NPI Number
1073576062
Provider Name
Teddy R Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
680 W Monroe St, Wytheville, VA, 24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101911 01 VA ANTHEM
5442037 01 VA AETNA
324212 01 VA ANTHEM
101908 01 VA ANTHEM
9020630 01 VA CIGNA
324208 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
680 W Monroe St
City
State
Zip
24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
person
Provider Business Mailing Address Details
Address
680 W Monroe St
City
State
Zip
24382-2240
Phone Number
276-228-2212
Fax Number
276-228-7835
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103000769 (Virginia)
Definition
Definition to come...
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