| Johnson Venture Management Solutions, Inc. | |
|
17 Langley Blvd Bldg 1216 Hampton VA 23681-2143 | |
| (757) 864-3193 | |
| Not Available |
| Full Name | Johnson Venture Management Solutions, Inc. |
|---|---|
| Speciality | Military Health Care Provider |
| Location | 17 Langley Blvd Bldg 1216, Hampton, Virginia |
| Authorized Official Name and Position | Margie Johnson (CEO/PRESIDENT) |
| Authorized Official Contact | 2105044707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Venture Management Solutions, Inc. 118 Broadway St Ste 621 San Antonio TX 78205-1981 | Johnson Venture Management Solutions, Inc. 17 Langley Blvd Bldg 1216 Hampton VA 23681-2143 Ph: (757) 864-3193 |
| NPI Number | 1598375610 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598375610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
| 171000000X | Military Health Care Provider | () | Primary |
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