Anna Blair Johnson, MD
Colon & Rectal Surgery in Matthews, NC. Individual provider (NPI-1).
NPI number1699034603
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1699034603
- Entity type
- Individual (NPI-1)
- Name
- Anna Blair Johnson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2012
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 2018-00968 | NC | Yes |
| 208600000X | Surgery | 2018-00968 | NC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 183548 | NC |
Practice location
1450 Matthews Township Pkwy Ste 230Matthews, NC 28105-2388
Phone 704-384-8615 · Fax 704-384-6792
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
101 Manning Dr
Dept Of Surg Burnett-Womack Bldg Cb #7050
Chapel Hill, NC 27514
Dept Of Surg Burnett-Womack Bldg Cb #7050
Chapel Hill, NC 27514
Phone 919-966-4653 · Fax 919-966-7841
101 Manning Dr
Dept Of Surg Burnett-Womack Bldg Cb #7050
Chapel Hill, NC 27514
Dept Of Surg Burnett-Womack Bldg Cb #7050
Chapel Hill, NC 27514
Phone 919-966-4653 · Fax 919-966-7841
1450 Matthews Township Pkwy Ste 355
Matthews, NC 28105-4300
Matthews, NC 28105-4300
Phone 704-333-1259
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