NPI 1245480185
Randall Victor Johnson, IDC
Practice location
- Address
- Uss West Virginia (ssbn 736) (blue), Fpo, AA 34093-2123
- Phone
- (912) 674-8685
- Fax
- (912) 573-4534
- Mailing address
- 881 Uss James Madison Rd, Kings Bay, GA 31547-2531
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1245480185
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Sep 2008
- Record last updated
- 29 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.