Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY LYNN JOHNSON, PA

Active

Physician Assistant · SOUTH CHARLESTON, WV

Registration Details

NPI Number: 1336116003
Provider Type: Individual
Gender: Male
NPI Issued: Mar 2, 2006 (20.138662263254 yrs)
Last Updated: Dec 17, 2007
License: 01092 (WV)

Practice Information

Address: 610 CHESTNUT ST

SOUTH CHARLESTON, WV, 253091251
Browse WV providers · Browse ZIP 25309
Phone: 3047667515
Fax: 3047667566
Primary Specialty: Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTH CHARLESTON, WV

Name	Credential	NPI
GREGORY PORTER	PA	1053390450
MS. MURIEL JUNE WILSON	PA-C	1992749212
MS. EMILY REBECCA BOLLING	PA-C	1316962863
MICHELE J ROACH-COURTS	PA-C	1427150481
NATALIE R BEESON	PA-C	1114026861
MRS. LORI JANE RAINEY	PA-C	1083797757

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.