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Mr. Justin Michael Johnson
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1528223518

Justin Michael Johnson is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Justin Michael Johnson practices in Charlotte, NC. The NPI Number for Justin Michael Johnson is 1528223518 and holds a License No. (North Carolina).

The current practice location address for Justin Michael Johnson is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-631-0002. You can also correspond with Justin Michael Johnson through the mailing address at 1000 BLYTHE BLVD, CHARLOTTE, NC - 28203-5812 (mailing address contact number: 704-631-0002).

Location: 1000 Blythe Blvd, Charlotte, NC, 28203-5812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528223518
Provider Name
Justin Michael Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd, Charlotte, NC, 28203-5812
Phone Number
704-631-0002
Fax Number
Provider Enumeration Date
07/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NC2474 05 SC
1528223518 05 NC
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-631-0002
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-631-0002
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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