Provider First Line Business Practice Location Address:
JOHNSON HEALTH CENTER
Provider Second Line Business Practice Location Address:
320 FEDERAL STREET
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-947-5967
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2014