Craig C Johnson in Wilmington - Physician Assistant
Craig C Johnson - NPI 1326040924
Craig C Johnson is a Physician Assistant in Wilmington, North Carolina. Craig C Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Craig C Johnson is 1326040924. The last update date is 2012-10-03.
Craig C Johnson's current location address is 2716 Ashton Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103323800 and fax number 9102510421. The mailing address for Craig C Johnson is 2716 Ashton Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig C Johnson |
|---|---|
| Address | 2716 Ashton Dr, Wilmington, North Carolina |
| Phone Number | 9103323800 |
| Fax Number | 9102510421 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1326040924 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 2716 Ashton Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284122489 |
| Phone Number | 9103323800 |
| Fax Number | 9102510421 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102174 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102174 | NC | MECICAL LICENSE |
Post Comment/ Review Below
Could you please provide the complete street address where Craig C Johnson is physically located?
The Craig C Johnson is physically situated at the following address: 2716 Ashton Dr, Wilmington, NC, 284122489.
What is Craig C Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig C Johnson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Craig C Johnson receive its 1326040924?
The Craig C Johnson was issued its 1326040924 on 2005-08-12, which is the date when the organization was assigned this unique identifier.
On what date did the Craig C Johnson receive its 1326040924 assignment from the Centers for Medicare & Medicaid Services?
The Craig C Johnson was assigned its 1326040924 by the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the details related to Craig C Johnson most recently updated or revised?
The information pertaining to Craig C Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-03.
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