Organization
NASH ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM E JOHNSON M.D. (PRESIDENT)
(252) 443-2125
Entity
Organization
Contact information
Practice address
3709 WESTRIDGE CIRCLE DR, ROCKY MOUNT, NC 27804-3335
(252) 443-2125
(252) 937-2508
Mailing address
3709 WESTRIDGE CIRCLE DR, ROCKY MOUNT, NC 27804-3335
(252) 443-2125
(252) 937-2508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02273
NCBCBS
NC
05
—
8902273
—
NC
Enumeration date
04/27/2006
Last updated
07/08/2010
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