Individual
DOUGLAS MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
620 SUMMIT CROSSING PLACE, SUITE 106, GASTONIA, NC 28054-2189
(704) 867-8021
(704) 864-4606
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
200501288
NC
2085R0202X
Diagnostic Radiology Physician
Primary
2005-01288
NC
2085R0202X
Diagnostic Radiology Physician
200501288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902558
—
NC
Enumeration date
12/23/2005
Last updated
09/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us