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Individual

MELISSA DIVAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
509 BILTMORE AVE, EMERGENCY DEPARTMENT, ASHEVILLE, NC (AVL), NC 28801
(828) 213-1111
Mailing address
509 BILTMORE AVE, EMERGENCY DEPARTMENT, ASHEVILLE, NC 28801
(828) 213-1111

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-00151
NC
207P00000X
Emergency Medicine Physician
MD29307
OR

Other

Enumeration date
06/01/2007
Last updated
09/07/2016
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