| Doctor Name: | DAVID CHARLES JOHNSON |
| NPI Number: | 1184646374 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101233087 |
| Business Practice Address: | 19455 Deerfield Ave Suite 312 Lansdowne, VA - 201768102 |
| Business Phone Number: | 7037295010 |
| Business Fax Number: | 7037295833 |
| Mailing Address: | 19455 Deerfield Ave, Suite 312 LANSDOWNE |
| State: | VA |
| Postal Code: | 201768102 |
| Phone Number: | 7037295010 |
| Fax Number: | 7037295833 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 12/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 0101233087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |