Jeanette R Johnson in Pinehurst - Primary Podiatric Medicine

Jeanette R Johnson - NPI 1255337804

Jeanette R Johnson is a Primary Podiatric Medicine in Pinehurst, North Carolina. Jeanette R Johnson practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Jeanette R Johnson is 1255337804. The last update date is 2011-09-09.

Jeanette R Johnson's current location address is 6 Regional Cr, Pinehurst, North Carolina. You can contact this provider via phone number 9102959255. The mailing address for Jeanette R Johnson is 6 Regional Cr, Pinehurst, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanette R Johnson
Address 6 Regional Cr, Pinehurst, North Carolina
Phone Number 9102959255
Fax Number
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1255337804
Provider Enumeration Date 2005-06-27
Last Updated Date 2011-09-09

Provider Mailing Address Detail

Address 6 Regional Cr
City Pinehurst
State North Carolina (NC)
Post Code 28374
Phone Number 9102959255
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 531
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65554 FL BLUE CROSS/BLUE SHIELD

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FAQs about Jeanette R Johnson

What is the Jeanette R Johnson's unique identification number?

The Jeanette R Johnson has been assigned the NPI (National Provider Identifier) Number 1255337804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jeanette R Johnson is physically located?

The Jeanette R Johnson is situated at the following address: 6 Regional Cr, Pinehurst, NC 28374.

What is Jeanette R Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeanette R Johnson's specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.

On what date did Jeanette R Johnson receive its 1255337804 assignment from the Centers for Medicare & Medicaid Services?

The Jeanette R Johnson was assigned its 1255337804 on 2005-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jeanette R Johnson most recently updated or revised?

The details related to Jeanette R Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-09.

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