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Individual
CLANFORD LYONEL JOHNSON
Active
Individual
CLANFORD LYONEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400688
NC
207Q00000X
Family Medicine Physician
Primary
25112
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904663
—
NC
01
—
P00329935
RAILROAD MEDICARE
NC
Enumeration date
03/29/2006
Last updated
07/29/2015
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