Individual
KIMBERLY ZANETA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-02072
NC
207Q00000X
Family Medicine Physician
MD 34407
SC
390200000X
Student in an Organized Health Care Education/Training Program
58-003244
OH
Other
Enumeration date
10/07/2009
Last updated
06/24/2019
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