Individual
DR. CYNTHIA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6892
(919) 416-5938
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6892
(919) 416-5938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200301130
NC
208000000X
Pediatrics Physician
200301130
NC
208M00000X
Hospitalist Physician
Primary
200301130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901097
—
NC
Enumeration date
08/05/2006
Last updated
07/28/2014
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