NPI 1003494477
Taylor Derek Johnson, MD
Practice location
- Address
- 2001 Vail Ave, Charlotte, NC 28207-1219
- Phone
- (704) 304-5000
- Mailing address
- 6135 Park South Dr STE 510, Charlotte, NC 28210-0100
Registered specialties (2)
Anesthesiology Physician
Primary
Anesthesiology Physician
Registry record
- NPI
- 1003494477
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Mar 2021
- Record last updated
- 30 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.