Johnathon Chisum, PA

NPI #1538104138 in Fishersville, Virginia

Provider Information

NPI Number: 1538104138
Entity Type: Individual
Name: Johnathon Chisum, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 18, 2006
Last Updated: Jun 22, 2023

Practice Location

Address: 70 MEDICAL CENTER CIR STE 103
City: Fishersville
State: Virginia
ZIP Code: 22939-2273
Phone: (540) 245-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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