Individual
STEPHEN E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6602 KNIGHTDALE BLVD, SUITE 102, KNIGHTDALE, NC 27545-6525
(919) 747-5210
(919) 747-5211
Mailing address
6602 KNIGHTDALE BLVD, SUITE 102, KNIGHTDALE, NC 27545-6525
(919) 747-5210
(919) 747-5211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21409
NC
207P00000X
Emergency Medicine Physician
42431
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45904324
—
CO
Enumeration date
11/25/2005
Last updated
02/04/2014
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