Shandolyn Gail Johnson BS

NPI 1760520720 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1760520720
Gender Female
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
622 POWELL AVENUE
BIG STONE GAP VA, 24219, US
Phone (276) 523-0682
Fax (276) 523-0684
Business Location
PO BOX 9054
GRAY TN, 37615-9054, US
Phone (423) 467-3600
Fax (423) 467-3696
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Shandolyn Gail Johnson BS NPI is 1760520720, taxonomy code is 171M00000X Shandolyn Gail Johnson BS physically located at 622 Powell Avenue, Big Stone Gap VA, 24219. NPI Number Shandolyn Gail Johnson BS has the Individual type.

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1760520720 NPI number is provided on an as is basis without warranty of any kind. 1760520720 is maintained by the National Plan & Provider Enumeration System. The contents of Shandolyn Gail Johnson BS are for informational purposes only.