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NPI Code Detail

MEDICARE: DR. HELEN REBECCA JOHNSON M.D.

MEDICARE: DR. HELEN REBECCA JOHNSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician21020WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972507887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HELEN REBECCA JOHNSON M.D.
Provider Business Mailing Address
First Line : 237 GUNDRY DR
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-4117
Country : US
Telephone Number : 540-327-4828
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-9820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 11/01/2023

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