Individual
DR. BLAKE ELLIOT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M.SC.
Contact information
Practice address
460 WATERSTONE DR FL 3, HILLSBOROUGH, NC 27278-9078
(919) 595-5927
Mailing address
170 MANNING DRIVE CAMPUS BOX #7235, CHAPEL HILL, NC 27599-7235
(919) 966-2571
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101286931
VA
208800000X
Urology Physician
Primary
2024-02754
NC
Other
Enumeration date
03/02/2020
Last updated
08/20/2025
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