Earlie T Johnson in Jacksonville - Internal Medicine
Earlie T Johnson - NPI 1275594079
Earlie T Johnson is a Internal Medicine in Jacksonville, North Carolina. Earlie T Johnson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Earlie T Johnson is 1275594079. The last update date is 2012-12-19.
Earlie T Johnson's current location address is 305 Country Club Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103471673. The mailing address for Earlie T Johnson is 305 Country Club Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earlie T Johnson |
|---|---|
| Address | 305 Country Club Dr, Jacksonville, North Carolina |
| Phone Number | 9103471673 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275594079 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2012-12-19 |
Provider Mailing Address Detail
| Address | 305 Country Club Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467420 |
| Phone Number | 9103471673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 31729 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0154H | NC | BCBS | |
| 890154H | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Earlie T Johnson by the Centers for Medicare & Medicaid Services?
The Earlie T Johnson has been assigned the NPI (National Provider Identifier) 1275594079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Earlie T Johnson's physical address?
The Earlie T Johnson is physically located at 305 Country Club Dr, in the city of Jacksonville, NC, with the postal code 285467420.
What is Earlie T Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Earlie T Johnson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Earlie T Johnson receive the assignment of its 1275594079 from the Centers for Medicare & Medicaid Services?
The Earlie T Johnson was issued its 1275594079 by the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date were the Earlie T Johnson's details last updated?
The information pertaining to the Earlie T Johnson, including its address, specialty, and other details, was most recently updated on 2012-12-19.