Keith Emery Johnson, M.D.
General Practice in Aberdeen, NC. Individual provider (NPI-1).
NPI number1467628792
StatusActive
Last updated in NPPESMay 8, 2008
Details
- NPI
- 1467628792
- Entity type
- Individual (NPI-1)
- Name
- Keith Emery Johnson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 6, 2008
- Last updated
- May 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 30178 | NC | Yes |
Practice location
1111 Quewhiffle RdAberdeen, NC 28315-5377
Phone 910-281-5122
Mailing address
1111 Quewhiffle RdAberdeen, NC 28315-5377
Phone 910-281-5122
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