CHANDRIA LYNN JOHNSON MD PA
Medical Practice at Berryhill Medical Park Dr, Milton, FL

License number
Florida ME90117
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: CHANDRIA LYNN JOHNSON
Title: OWNER
Phone: (850) 936-1316
Address
Address
5950 Berryhill Medical Park Dr SUITE B, Milton, FL 32570
National Provider ID: 1285815662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Chandria Lynn Johnson, M.D., PA

Fort Walton Beach, FL  -  Milton, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Chandria Lynn Johnson MD PA
Registration:
Apr 28, 2006
Addresses:
924 Mar Walt Dr, Fort Walton Beach, FL 32547
PO Box 277, Milton, FL 32572
5950 Berryhill Medical Park Dr, Milton, FL 32570
6072 Doctors Park, Milton, FL 32570
State ID:
P06000060506
Business type:
Domestic for Profit Corporation
President, Owner, Principal:
Chandria L. Johnson President, Owner, Principal, inactive

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