Healthcare Provider Details

I. General information

NPI: 1578145231
Provider Name (Legal Business Name): ALEXANDER OWEN JOHNSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 WESTRIDGE MARKET PL # 20
CANDLER NC
28715-9174
US

IV. Provider business mailing address

38 THE VILLAGE OVERLOOK
SYLVA NC
28779-2742
US

V. Phone/Fax

Practice location:
  • Phone: 828-458-8100
  • Fax: 828-586-7473
Mailing address:
  • Phone: 828-586-7474
  • Fax: 828-586-7473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2026-02273
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: