Individual
REGINALD WENDELL JOHNSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-5217
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022-02532
NC
390200000X
Student in an Organized Health Care Education/Training Program
JOHN-J00N7O
NC
Other
Enumeration date
05/03/2021
Last updated
10/05/2022
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