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NPI Code Detail

MEDICARE: MORGAN DURAND JOHNSON PA-C

MEDICARE: MORGAN DURAND JOHNSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144876186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN DURAND JOHNSON PA-C
Provider Business Mailing Address
First Line : 5451 ADDISON DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-4138
Country : US
Telephone Number : 980-322-4882
Fax Number :
Provider Business Practice Location Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112-5834
Country : US
Telephone Number : 704-764-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 10/19/2022

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