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Contact Information

RICHARD D JOHNSON, MD
300 W 27TH ST
LUMBERTON, NC28358-3075
 Phone: 910-671-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for RICHARD D JOHNSON · (Male)

NPI Number 1306895719
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0093-00163
  • NC Medicaid 89130XP
  • NC Other 130XP BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • SOUTHEASTERN REGIONAL MEDICAL CENTER - (Acute Care)
    300 W 27 ST PO BOX 1408
    LUMBERTON, NC 28359
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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