Individual
DR. GREGORY JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6740 ROCK SPRING RD STE 100, WILMINGTON, NC 28405
(910) 777-8254
(910) 769-1246
Mailing address
6740 ROCK SPRING RD STE 100, WILMINGTON, NC 28405-3186
(910) 777-8254
(910) 769-1246
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2005-00742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140CF
BLUECROSS/BLUESHIELD
—
05
—
5900953
—
NC
01
—
987816
AETNA
NC
01
—
P00259372
RAILROAD MEDICARE
—
Enumeration date
06/14/2006
Last updated
07/18/2018
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