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Individual

KIM EDWARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PROVIDENCE RD STE 101, NASH ANESTHESIA ASSOCIATES, CHARLOTTE, NC 28207-1437
(844) 437-4275
(704) 973-7896
Mailing address
PO BOX 14767, NASH ANESTHESIA ASSOCIATES, BELFAST, ME 04915-4042
(844) 437-4275
(704) 973-7896

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31308
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2052241
UNITED HEALTHCARE
NC
01
46398
BCBS NC
NC
05
8946398
NC
Enumeration date
08/11/2005
Last updated
05/26/2015
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