Alicia Renee Johnson, P.A

NPI #1134434830 in Proctorville, Ohio

Provider Information

NPI Number: 1134434830
Entity Type: Individual
Name: Alicia Renee Johnson, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: Aug 18, 2010
Last Updated: Jan 21, 2021

Practice Location

Address: 98 STATE ST
City: Proctorville
State: Ohio
ZIP Code: 45669-8163
Phone: (740) 886-9370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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