Organization
INTRACOASTAL EYE, PLLC
Active
Other names
Johnson Laser Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JAMES JOHNSON M (MEMBER/MANAGER)
(910) 777-8254
Entity
Organization
Contact information
Practice address
8115 MARKET ST STE 312, WILMINGTON, NC 28411-8427
(910) 742-8384
Mailing address
8115 MARKET ST STE 312, WILMINGTON, NC 28411-8427
(910) 742-8384
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200500742
NC
Other
Enumeration date
04/17/2015
Last updated
04/29/2024
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