Organization
LIVING WELL PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN CHARLES JOHNSON III MD (CEO)
(816) 200-4491
Entity
Organization
Contact information
Practice address
289 OLMSTED BLVD, UNIT 3, STE 5, PINEHURST, NC 28374-8730
(910) 541-5880
(910) 240-9469
Mailing address
370 OAKHURST VISTA, WEST END, NC 27376
(816) 200-4491
(910) 240-9469
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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