Individual
DR. JAMES CLIFTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 926-1832
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
33848
NC
2085N0700X
Neuroradiology Physician
33848
NC
2085R0202X
Diagnostic Radiology Physician
Primary
33848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376548222
—
NC
05
—
7946283
—
NC
Enumeration date
06/16/2005
Last updated
10/01/2020
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