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Individual

MR. ROBERT B JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
(919) 380-1480
Mailing address
101 SW CARY PKWY, SUITE 210, CARY, NC 27511-5562
(919) 467-8556
(919) 380-1480

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29125
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-55791
UNITED HEALTHCARE
NC
01
46476
BLUE CROSS AND BLUE SHIEL
NC
Enumeration date
09/20/2005
Last updated
07/08/2007
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