Individual
DR. PAUL LEO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11033 CAROLINA PLACE PKWY, PINEVILLE, NC 28134-8370
(704) 541-2402
Mailing address
4300 MORROWICK RD, CHARLOTTE, NC 28226-4324
(704) 362-1132
(704) 362-1132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1244
NC
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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