Individual
MEGAN DANYEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
885 SUMMIT CROSSING PL, GASTONIA, NC 28054-2193
(704) 316-4979
(704) 316-4978
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-03033
NC
207Q00000X
Family Medicine Physician
26280
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
04/10/2013
Last updated
02/07/2024
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