Individual
JEFFREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 TIMBER DR E, GARNER, NC 27529-6926
(919) 779-6423
(919) 662-2021
Mailing address
1921 FALLS VALLEY DR, RALEIGH, NC 27615-3446
(919) 872-0250
(919) 848-3137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9600315
NC
Other
Enumeration date
07/11/2006
Last updated
10/25/2011
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