Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clyde L. Johnson Jr., MD

Individual provider Surgery Physician · NPI 1124007851

Clyde L. Johnson Jr., MD is a Surgery Physician in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1051 Johnston Willis Dr St 200
Richmond, VA 23235
Phone: (804) 320-2705
Fax: (804) 330-2433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101-223144 (VA)
Surgery Physician Taxonomy 208600000X · Licence 0101223144 (VA)

Record details

NPI number1124007851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESMarch 10, 2010

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