person
Mrs. Tatia Ford Johnson, MPAS,PA-C
Medical Physician Assistant in Glenn Dale, Maryland
NPI 1811146178

Tatia Ford Johnson is a Medical Physician Assistant based in Glenn Dale, MD and is specialized in Medical. Tatia Ford Johnson practices in Glenn Dale, MD and has the professional credentials of MPAS,PA-C. The NPI Number for Tatia Ford Johnson is 1811146178 and holds a License No. C0002501 (Maryland).

The current practice location address for Tatia Ford Johnson is 12150 Annapolis Rd, Glenn Dale, MD and can be reached out via phone at 301-249-5384 and via fax at 301-249-6047.

Location: 12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
person
Provider Profile Details
NPI Number
1811146178
Provider Name
Tatia Ford Johnson
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Female
Address
12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
Phone Number
301-249-5384
Fax Number
301-249-6047
Provider Enumeration Date
09/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12150 Annapolis Rd
City
State
Zip
20769-9183
Phone Number
301-249-5384
Fax Number
301-249-6047
person
Provider Business Mailing Address Details
Address
12150 Annapolis Rd
City
State
Zip
20769-9183
Phone Number
301-249-5384
Fax Number
301-249-6047
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0002501 (Maryland)
Definition
Definition to come...
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