Individual
DR. MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
2707 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
(919) 735-9146
(919) 735-0582
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040009804
RETIRED RAILROAD MEDICARE
NC
01
—
46388
BCBSNC
NC
05
—
8946388
—
NC
Enumeration date
12/16/2005
Last updated
05/10/2021
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