Individual
MR. CURTIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
420 OWEN DR, FAYETTEVILLE, NC 28304-3430
(910) 484-1210
(910) 484-1347
Mailing address
420 OWEN DR, FAYETTEVILLE, NC 28304-3430
(910) 484-1210
(910) 484-1347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199270
MEDCOST NUMBER
NC
Enumeration date
08/10/2005
Last updated
12/05/2013
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