Individual
DAVID ALBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2171
(704) 355-5736
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012-00661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609100247
—
NC
05
—
NC1611
—
SC
Enumeration date
09/30/2009
Last updated
03/14/2019
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