Johnson, Pamela Ann

Johnson, Pamela Ann is an individual health care provider with primary practice located at 2701 Statesville Ave , Charlotte NC 28206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Pamela Ann can be contacted via phone (980) 302-8521.

Contact Information

Primary practice address
2701 Statesville Ave Charlotte NC 28206
Phone: (980) 302-8521
Fax: (980) 302-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9401228 North Carolina

Profile Details

NPI number 1639142631
LBN Legal business name Johnson, Pamela Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639142631 NPPES
North Carolina MEDICAID 791074V

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