institution
Vanessa O. Johnson,m.d.,pc
Primary Care Clinic/Center in Petersburg, Virginia
NPI 1093967788

Vanessa O. Johnson,m.d.,pc is a Primary Care Clinic/Center based in Petersburg, VA and is specialized in Primary Care. Vanessa O. Johnson,m.d.,pc practices in Petersburg, VA. The NPI Number for Vanessa O. Johnson,m.d.,pc is 1093967788 and holds a License No. 0101039958 (Virginia).

The current practice location address for Vanessa O. Johnson,m.d.,pc is 50 Medical Park Boulevard, Petersburg, VA and can be reached out via phone at 804-732-7100 and via fax at 804-732-7101.

Location: 50 Medical Park Boulevard, Petersburg, VA, 23805
institution
Provider Profile Details
NPI Number
1093967788
Provider Name
Vanessa O. Johnson,m.d.,pc
Credential
Provider Entity Type
Organization
Address
50 Medical Park Boulevard, Petersburg, VA, 23805
Phone Number
804-732-7100
Fax Number
804-732-7101
Provider Enumeration Date
10/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396866448 01 VA NPI
institution
Provider Business Practice Location Address Details
Address
50 Medical Park Boulevard
City
State
Zip
23805
Phone Number
804-732-7100
Fax Number
804-732-7101
person
Provider Business Mailing Address Details
Address
50 Medical Park Boulevard
City
State
Zip
23805
Phone Number
804-732-7100
Fax Number
804-732-7101
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0101039958 (Virginia)
Definition
Definition to come...
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