Individual provider · Type 1 NPI

Glen F. Johnson, PA

Physician Assistant · Fayetteville, NC

NPI number 1619971561 Active

Practice location

524 Beaumont Rd
Fayetteville, NC 28304-4443

Mailing address

PO Box 1070
Charlotte, NC 28201-1070

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X00010366 (NC)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619971561

Glen F. Johnson, PA's National Provider Identifier is 1619971561, issued on Jun 9, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Feb 13, 2008.