Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCUS TYRONE JOHNSON
Active Sole ProprietorMARCUS TYRONE JOHNSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in SUFFOLK, Virginia. NPI 1922880145 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · SUFFOLK, VA
Registration Details
- NPI Number
- 1922880145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2023 (2.8538797991073 yrs)
- Last Updated
- Oct 23, 2023
- License
-
7924 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6226 HEATHER GLEN DRSUFFOLK, VA, 234353133Browse VA providers · Browse ZIP 23435
- Phone
- 7573741741
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.