Individual
MRS. DESIREE B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 WOODSON ST STE A, SALISBURY, NC 28144-3286
(704) 639-0097
(704) 639-1389
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 639-0097
(704) 639-1389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911530
—
NC
Enumeration date
09/22/2005
Last updated
10/25/2020
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