GLEN JOHNSON, PA

Physician Assistant

Active Individual
NPI: 1619971561

Practice Address

524 BEAUMONT RD
Fayetteville, NC 28304

Phone: (800) 476-8646

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 00010366 (NC)

Frequently Asked Questions

NPI 1619971561 is the National Provider Identifier for GLEN JOHNSON, PA, a Physician Assistant provider located in Fayetteville, NC. This NPI was enumerated on June 9, 2005.
GLEN JOHNSON, PA practices at 524 BEAUMONT RD, Fayetteville, NC 28304.

Quick Facts

NPI
1619971561
Type
Individual
Enumerated
Jun 9, 2005
Last Updated
Feb 13, 2008

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