Eddie Lee Johnson JR., CRNA
NPI #1548369929 in Charleston, West Virginia
Provider Information
- NPI Number
- 1548369929
- Entity Type
- Individual
- Name
- Eddie Lee Johnson JR., CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- CRNA
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 3200 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304
- Phone
- (304) 388-4077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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