Individual
SHAE ASHLEY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4949 PROFESSIONAL PARK DR STE 101, KANNAPOLIS, NC 28081-8638
(704) 938-6521
Mailing address
1750 CAMDEN RD APT 319, CHARLOTTE, NC 28203-6553
(912) 506-1451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001015594
NC
Other
Enumeration date
06/13/2025
Last updated
10/14/2025
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