Dr. Teddy R Johnson
Foot & Ankle Surgery
680 W Monroe St
Wytheville
, Virginia 24382-2240
Dr. Teddy R Johnson
Foot & Ankle Surgery
680 W Monroe St
Wytheville
, Virginia 24382-2240
(276) 228-7835
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Teddy R Johnson
- 680 W Monroe St
- Wytheville, VA
- Zip : 24382-2240
- Fax : (276) 228-7835
- Phone : (276) 228-2212
Second Address
- Dr. Teddy R Johnson
- 680 W Monroe St
- Wytheville, VA
- Zip : 24382-2240
- Fax : (276) 228-7835
- Phone : (276) 228-2212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 0103000769 | VA |
National Provider Identifier
| NPI | 1073576062 |
|---|---|
| Provider Name | Dr. Teddy R Johnson |
| First Address | Wytheville, VA 24382-2240 |
| Second Address | Wytheville, VA 24382-2240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2006 |
| Last Update Date | 25/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101908 | ANTHEM (01) | VA |
| 101911 | ANTHEM (01) | VA |
| 324208 | ANTHEM (01) | VA |
| 324212 | ANTHEM (01) | VA |
| 5442037 | AETNA (01) | VA |
| 9020630 | CIGNA (01) | VA |
| T21741 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.