Individual
ADEYEMI S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204-3260
(704) 343-9800
(704) 887-7570
Mailing address
1718 E 4TH ST, STE 501, CHARLOTTE, NC 28204-3260
(704) 343-9800
(704) 887-7570
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35671
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8946421
—
NC
05
—
N35671
—
SC
Enumeration date
07/11/2005
Last updated
12/17/2007
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