Individual
MR. THOMAS K JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
371 NC 65 HWY, WENTWORTH, NC 27375
(336) 342-8140
Mailing address
371 NC 65 HWY, WENTWORTH, NC 27375
(336) 342-8140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
100177
NC
363AM0700X
Medical Physician Assistant
Primary
100177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100177
LICENSE
NC
01
—
21511
REGISTRATION NUMBER
NC
Enumeration date
10/18/2006
Last updated
09/11/2025
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