Individual provider · Type 1 NPI

Gary Lynn Johnson, PA

Physician Assistant · South Charleston, WV

NPI number 1336116003 Active

Practice location

610 Chestnut St
South Charleston, WV 25309-1251

Call (304) 766-7515 Map

Fax (304) 766-7566

Mailing address

107 Rocky Step Rd
Scott Depot, WV 25560-9631

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X01092 (WV)

Physician Assistant: 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, orde…

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About NPI 1336116003

Gary Lynn Johnson, PA's National Provider Identifier is 1336116003, issued on Mar 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Charleston, WV. The record was last updated on Dec 17, 2007.