Johnson, Warren Charles

Johnson, Warren Charles is an individual health care provider with primary practice located at 300 Medical Pavilion Dr Suite 150, Raeford NC 28376-0019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Johnson, Warren Charles can be contacted via phone (910) 904-8025.

Contact Information

Primary practice address
300 Medical Pavilion Dr Suite 150 Raeford NC 28376-0019
Phone: (910) 904-8025
Fax: (910) 615-9751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2000167444 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2014-02019 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014-02019 North Carolina

Profile Details

NPI number 1245232123
LBN Legal business name Johnson, Warren Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 6th, 2016 - about 10 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 1245232123 NPPES
Missouri MEDICAID 205099906

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