Organization
JOHNSTON PSYCHIATRIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD Y ABU-SALHA M.D. (OWNER)
(919) 550-3323
Entity
Organization
Contact information
Practice address
2076 NC HIGHWAY 42 W, SUITE 220, CLAYTON, NC 27520-5302
(919) 550-3323
(919) 550-3379
Mailing address
PO BOX 187, CLAYTON, NC 27528-0187
(919) 550-3323
(919) 550-3379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
98-00752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165V
BCBS
NC
05
—
5903360
—
NC
01
—
BA5957937
ANESTHESIA LICENSE
NC
Enumeration date
06/03/2006
Last updated
01/28/2016
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