Organization · Type 2 NPI
Vanessa O. Johnson,m.d.,pc
Primary Care Clinic/Center · Petersburg, VA
NPI number
1093967788
Active
Practice location
50 Medical Park Boulevard, Suite B
Petersburg, VA 23805
Fax (804) 732-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0101039958 (VA) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Petersburg
About NPI 1093967788
Vanessa O. Johnson,m.d.,pc's National Provider Identifier is 1093967788, issued on Oct 14, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Petersburg, VA. The record was last updated on Oct 14, 2008.