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Individual
JACOB KEITH JOHNSON
Active
Individual
JACOB KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2016-00663
NC
Other
Enumeration date
04/08/2013
Last updated
07/15/2026
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