Individual provider · Type 1 NPI
Douglas Mark Johnson, DO
Diagnostic Radiology Physician · Winston Salem, NC
NPI number
1811974553
Active
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
620 Summit Crossing Place, Suite 106
Gastonia, NC 28054-2189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | 200501288 (NC) |
| Diagnostic Radiology Physician | 2085R0202X | 200501288 (NC) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 2005-01288 (NC) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1811974553
Douglas Mark Johnson, DO's National Provider Identifier is 1811974553, issued on Dec 23, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 22, 2010.