Individual
DR. RYAN CHRISTOPHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8260
Mailing address
PO BOX 14045, RALEIGH, NC 27620-4045
(919) 350-8260
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2020-00096
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A117705
CA
Other
Enumeration date
04/30/2010
Last updated
04/15/2021
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