Clyde L. Johnson is a Surgery in Richmond, Virginia. Clyde L. Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Clyde L. Johnson is 1124007851. The last update date is 2010-03-10.
Clyde L. Johnson's current location address is 1051 Johnston Willis Dr., Richmond, Virginia. You can contact this provider via phone number 8043202705 and fax number 8043302433. The mailing address for Clyde L. Johnson is 1051 Johnston Willis Dr., Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde L. Johnson |
|---|---|
| Address | 1051 Johnston Willis Dr., Richmond, Virginia |
| Phone Number | 8043202705 |
| Fax Number | 8043302433 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124007851 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2010-03-10 |
Provider Mailing Address Detail
| Address | 1051 Johnston Willis Dr. |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 23235 |
| Phone Number | 8043202705 |
| Fax Number | 8043302433 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 101223144 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7310871 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clyde L. Johnson by the Centers for Medicare & Medicaid Services?
The Clyde L. Johnson has been issued the NPI (National Provider Identifier) 1124007851, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Clyde L. Johnson?
The Clyde L. Johnson is physically situated at 1051 Johnston Willis Dr., in the city of Richmond, state of VA, with the postal code 23235.
What is Clyde L. Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clyde L. Johnson is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Clyde L. Johnson receive its 1124007851 assignment from the Centers for Medicare & Medicaid Services?
The Clyde L. Johnson was assigned its 1124007851 by the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information pertaining to Clyde L. Johnson most recently updated or revised?
The details related to Clyde L. Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-10.
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