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NPI Code Detail

MEDICARE: TERRANCE PERCELL JOHNS MD

MEDICARE: TERRANCE PERCELL JOHNS MD
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
1207R00000XInternal Medicine Physician9401424NC

Other Identifiers

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

General Provider Information

NPI Number : 1639141674
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRANCE PERCELL JOHNS MD
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-475-8121
Fax Number : 336-475-5377
Provider Business Practice Location Address
First Line : 309 PINEYWOOD RD
Second Line :
City : THOMASVILLE
State : NC
Zip : 27360-3438
Country : US
Telephone Number : 336-475-8121
Fax Number : 336-475-5377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 07/25/2023

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