GARY JOHNSON, PA

Physician Assistant

Active Individual
NPI: 1336116003

Practice Address

610 CHESTNUT ST
South Charleston, WV 25309

Phone: (304) 766-7515

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 01092 (WV)

Frequently Asked Questions

NPI 1336116003 is the National Provider Identifier for GARY JOHNSON, PA, a Physician Assistant provider located in South Charleston, WV. This NPI was enumerated on March 2, 2006.
GARY JOHNSON, PA practices at 610 CHESTNUT ST, South Charleston, WV 25309.

Quick Facts

NPI
1336116003
Type
Individual
Enumerated
Mar 2, 2006
Last Updated
Dec 17, 2007

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