Individual
DR. ERIC MERRIMAN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 N 6TH ST, ALBEMARLE, NC 28001-3551
(704) 983-3121
(704) 983-4659
Mailing address
1007 N 6TH ST, ALBEMARLE, NC 28001-3551
(704) 983-3121
(704) 983-4659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080077493
RAILROAD MEDICARE
NC
05
—
890243C
—
NC
Enumeration date
01/16/2006
Last updated
03/07/2016
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