Shandolyn Gail Johnson, BS
NPI #1760520720 in Big Stone Gap, Virginia
Provider Information
- NPI Number
- 1760520720
- Entity Type
- Individual
- Name
- Shandolyn Gail Johnson, BS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BS
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 622 POWELL AVENUE
- City
- Big Stone Gap
- State
- Virginia
- ZIP Code
- 24219
- Phone
- (276) 523-0682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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