Individual
CLIFFORD PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 HOSPITAL DR, SUITE 2A, HENDERSONVILLE, NC 28792-5244
(828) 654-6015
(828) 687-6058
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 687-5616
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9501288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8946064
—
NC
01
—
P01030030
MEDICARE RR
NC
Enumeration date
05/25/2006
Last updated
10/11/2016
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