MEDICARE: JOHNSON NEUROLOGICAL CLINIC, INC.

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
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427261262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON NEUROLOGICAL CLINIC, INC.

Provider Business Mailing Address
First Line	:	606 N ELM ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-4332
Country	:	US
Telephone Number	:	336-889-8877
Fax Number	:

Provider Business Practice Location Address
First Line	:	1213 LEXINGTON AVE
Second Line	:
City	:	THOMASVILLE
State	:	NC
Zip	:	27360-3416
Country	:	US
Telephone Number	:	336-475-0113
Fax Number	:	336-475-0801

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOSEPH KEITH MILLER
Credential	:	MD
Telephone Number	:	336-889-8877

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	11/13/2007

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