Individual
MARTIN K JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E WENDOVER AVE, SUITE 200, GREENSBORO, NC 27401-1230
(336) 274-3241
(336) 274-7134
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-3241
(336) 272-7134
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113
PARTNERS MEDICARE
NC
01
—
26035
MEDCOST
NC
01
—
46432
BCBS OF NC
NC
05
—
8946432
—
NC
Enumeration date
11/06/2006
Last updated
04/25/2014
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