Teddy R Johnson DPM

NPI 1073576062 - Podiatrist - 213ES0103X

NPI Details
NPI 1073576062
Gender Male
Enumeration Date 04/10/2006
Last Updated 10/25/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
680 W MONROE ST
WYTHEVILLE VA, 24382-2240, US
Phone (276) 228-2212
Fax (276) 228-7835
Business Location
680 W MONROE ST
WYTHEVILLE VA, 24382-2240, US
Phone (276) 228-2212
Fax (276) 228-7835
Toxanomy
Taxonomy Code 213ES0103X
License State Virginia
License Number 0103000769
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According to our database, Dr. Teddy R Johnson DPM NPI is 1073576062, taxonomy code is 213ES0103X and license number is 0103000769, license state is located at Virginia. Teddy R Johnson DPM physically located at 680 W Monroe St, Wytheville VA, 24382-2240. NPI Number Teddy R Johnson DPM has the Individual type.

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1073576062 NPI number is provided on an as is basis without warranty of any kind. 1073576062 is maintained by the National Plan & Provider Enumeration System. The contents of Teddy R Johnson DPM are for informational purposes only.