Individual
DR. JUSTIN MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(980) 859-2106
Mailing address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(980) 859-2106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014-00163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528223518
—
NC
05
—
NC2474
—
SC
Enumeration date
07/19/2008
Last updated
05/17/2024
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