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Individual

SAMUEL JERMAINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
528 CROCUS CT, CHARLOTTE, NC 28217-8012
(980) 254-3970
Mailing address
528 CROCUS CT, CHARLOTTE, NC 28217-8012
(980) 254-3970

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
20220851
NC

Other

Enumeration date
11/17/2025
Last updated
11/19/2025
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