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Individual

JACOB KEITH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 MANNING DRIVE, CHAPEL HILL, NC 27599-4051
(984) 974-7850
Mailing address
101 MANNING DRIVE, CHAPEL HILL, NC 27599-4051

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2016-00663
NC

Other

Enumeration date
04/08/2013
Last updated
01/11/2018
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