Tairy Adams Johnson, P.A.-C
NPI #1063468890 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1063468890
- Entity Type
- Individual
- Name
- Tairy Adams Johnson, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- May 25, 2006
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 2300 OPITZ BLVD
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3311
- Phone
- (703) 523-1504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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