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Contact Information

KEVIN E JOHNSON, MD
290 W WALL ST
RURAL HALL, NC27045-9308
 Phone: 336-969-9158
 Fax: 336-969-4554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN E JOHNSON · (Male)

NPI # 1336138809
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2005
Last updated 01/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 070497
  • NC License # 9801320
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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