Individual
MR. JIMMY EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
MOUNTAIN VIEW FAMILY PRACTICE, 1940 BRIARWOOD DRIVE, HICKORY, NC 28602-5497
(828) 294-1116
(828) 294-0096
Mailing address
1270 CANSECO LANE, HICKORY, NC 28602
(828) 294-1116
(828) 294-0096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100174
NC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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