Search › North Carolina › 363A00000X
Glen Johnson, PA
NPI 1619971561 · on the registry since 2005
Practice
- Address
- 524 Beaumont Rd
Fayetteville, NC 28304 - Phone
- (800) 476-8646
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina