Provider Demographics
NPI:1124252531
Name:JOHNSON, EARL MCARTHUR JR (MD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:MCARTHUR
Last Name:JOHNSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2755 HARTLAND RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3540
Mailing Address - Country:US
Mailing Address - Phone:703-544-8971
Mailing Address - Fax:703-562-6994
Practice Address - Street 1:2755 HARTLAND RD
Practice Address - Street 2:SUITE 300
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3540
Practice Address - Country:US
Practice Address - Phone:703-544-8971
Practice Address - Fax:703-562-6994
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2015-06-11
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Provider Licenses
StateLicense IDTaxonomies
VA0101258156208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery