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Dr. Vanessa G King-johnson, MD
Specialist in Marianna, Florida
NPI 1750320057

Vanessa G King-johnson is a Specialist based in Marianna, FL. Vanessa G King-johnson practices in Marianna, FL and has the professional credentials of MD. The NPI Number for Vanessa G King-johnson is 1750320057 and holds a License No. ME78684 (Florida).

The current practice location address for Vanessa G King-johnson is 4298 5Th Ave, Marianna, FL and can be reached out via phone at 850-482-5787 and via fax at 850-482-8108.

Location: 4298 5Th Ave, Marianna, FL, 32446-2173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750320057
Provider Name
Vanessa G King-johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4298 5Th Ave, Marianna, FL, 32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270213400 05 FL
institution
Provider Business Practice Location Address Details
Address
4298 5Th Ave
City
Marianna
State
Florida
Zip
32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
person
Provider Business Mailing Address Details
Address
4298 5Th Ave
City
Marianna
State
Florida
Zip
32446-2173
Phone Number
850-482-5787
Fax Number
850-482-8108
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME78684 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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