NPI 1275594079

Earlie T Johnson, MD

Practitioner Internal Medicine Physician Jacksonville, NC

Practice location

Address: 2580 Henderson Dr, Jacksonville, NC 28546-5252
Phone: (910) 346-1188
Fax: (910) 346-1275
Mailing address: 305 Country Club Dr, Jacksonville, NC 28546-7420

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 31729 (NC)

Other Internal Medicine providers in North Carolina →

Registry record

NPI: 1275594079
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2006
Record last updated: 19 Dec 2012

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.