NPI 1043387459

Burt Powers Johnson, MD

Practitioner Psychiatry Physician Wilmington, NC

Practice location

Address: 2023 S 17th St, Wilmington, NC 28401-6600
Phone: (910) 251-6499
Fax: (910) 251-6511
Mailing address: 1009 Creekside Ln, Wilmington, NC 28411-7656

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 20408 (NC)

Other Psychiatry & Neurology providers in North Carolina →

Registry record

NPI: 1043387459
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2006
Record last updated: 8 Jul 2007

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.