JEANETTE R JOHNSON, DPM, Primary Podiatric Medicine PINEHURST, NC

Contact Information

JEANETTE R JOHNSON, DPM

6 REGIONAL CR
SUITE A
PINEHURST, NC 28374

Phone: 910-295-9255
Fax: 910-295-7255
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JEANETTE R JOHNSON · (Female)

NPI Number	`1255337804`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/27/2005
Last updated	09/09/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	NC License # 531 FL Other 65554 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)	Not Available

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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