Individual
MR. DANA W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1540 SUNDAY DR STE 214, RALEIGH, NC 27607-6000
(919) 235-0222
Mailing address
1309 BLOOMINGDALE DR, CARY, NC 27511-5934
(919) 468-3729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000101636
NC
Other
Enumeration date
07/14/2005
Last updated
07/31/2015
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