Provider Demographics
NPI:1760564264
Name:JOHNS, SONJA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:MARIA
Last Name:JOHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1383 STOKES STATION RD
Mailing Address - Street 2:
Mailing Address - City:GOOCHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23063-3809
Mailing Address - Country:US
Mailing Address - Phone:804-457-4307
Mailing Address - Fax:
Practice Address - Street 1:2841 WEST RIVER RD
Practice Address - Street 2:VIRGINIA CORRECTIONAL CENTER FOR WOMEN
Practice Address - City:GOOCHLAND
Practice Address - State:VA
Practice Address - Zip Code:23063
Practice Address - Country:US
Practice Address - Phone:804-784-3582
Practice Address - Fax:804-556-2723
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101036006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine