Individual provider · Type 1 NPI

Tatia Ford Johnson, MPAS, PA-C

Medical Physician Assistant · Glenn Dale, MD

NPI number 1811146178 Active

Practice location

12150 Annapolis Rd, Suite #300
Glenn Dale, MD 20769-9183

Fax (301) 249-6047

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0002501 (MD)
Medical Physician Assistant 363AM0700XM002916L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1811146178

Tatia Ford Johnson, MPAS, PA-C's National Provider Identifier is 1811146178, issued on Sep 11, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glenn Dale, MD. The record was last updated on Oct 14, 2010.