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Individual

DR. SCOTT RICHARD JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 HUFF DR, JACKSONVILLE, NC 28546-7369
(910) 353-4414
(910) 353-2972
Mailing address
250 HUFF DRIVE, JOHNSTON PAIN MANAGEMENT, P.A., JACKSONVILLE, NC 28546-7325
(910) 353-4414
(910) 353-2972

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
34999
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255351110
RAILROAD MEDICARE
NC
Enumeration date
07/20/2006
Last updated
04/13/2011
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