Individual
KATHERINE MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3429
(336) 716-2011
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.079399
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.079399
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL23-0306
NC
Other
Enumeration date
03/31/2022
Last updated
06/21/2023
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