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Gary Lynn Johnson, PA
Physician Assistant in South Charleston, West Virginia
NPI 1336116003

Gary Lynn Johnson is a Physician Assistant based in Scott Depot, WV. Gary Lynn Johnson practices in South Charleston, WV and has the professional credentials of PA. The NPI Number for Gary Lynn Johnson is 1336116003 and holds a License No. 01092 (West Virginia).

The current practice location address for Gary Lynn Johnson is 610 Chestnut St, South Charleston, WV and can be reached out via phone at 304-766-7515 and via fax at 304-766-7566.

Location: 610 Chestnut St, South Charleston, WV, 25560-9631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336116003
Provider Name
Gary Lynn Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
610 Chestnut St, South Charleston, WV, 25560-9631
Phone Number
304-766-7515
Fax Number
304-766-7566
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1071247 01 WV WV DWC
01092 01 WV LICENSE
institution
Provider Business Practice Location Address Details
Address
610 Chestnut St
City
South Charleston
State
West Virginia
Zip
25309-1251
Phone Number
304-766-7515
Fax Number
304-766-7566
person
Provider Business Mailing Address Details
Address
610 Chestnut St
City
South Charleston
State
West Virginia
Zip
25309-1251
Phone Number
304-766-7515
Fax Number
304-766-7566
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
01092 (West Virginia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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