Individual
KEITH EMERY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 QUEWHIFFLE RD, ABERDEEN, NC 28315-5377
(910) 281-5122
Mailing address
1111 QUEWHIFFLE RD, ABERDEEN, NC 28315-5377
(910) 281-5122
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30178
NC
Other
Enumeration date
05/06/2008
Last updated
05/08/2008
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