Johnson, Pamela Ann
Johnson, Pamela Ann is an individual health care provider with primary practice located at 2701 Statesville Ave , Charlotte NC 28206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Pamela Ann can be contacted via phone (980) 302-8521.Contact Information
Primary practice address
2701 Statesville Ave
Charlotte NC 28206
Phone: (980) 302-8521
Fax: (980) 302-8525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9401228 | North Carolina |
Profile Details
| NPI number | 1639142631 |
|---|---|
| LBN Legal business name | Johnson, Pamela Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Mar 23rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639142631 | NPPES |
| North Carolina | MEDICAID | 791074V |
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