Individual
DR. SHAWN PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
75 EMERSON BAY RD STE 102, CAROLINA SHORES, NC 28467-2498
(910) 579-8363
(910) 579-8306
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-01698
NC
Other
Enumeration date
03/11/2016
Last updated
06/13/2024
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