Provider Demographics
NPI:1871884270
Name:JOHNSON, DAVID COLIN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:COLIN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF UROLOGY
Mailing Address - Street 2:2113 PHYSICIANS OFFICE BLDG. CB 7235
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-2574
Mailing Address - Fax:919-966-0098
Practice Address - Street 1:DEPARTMENT OF UROLOGY
Practice Address - Street 2:2113 PHYSICIANS OFFICE BLDG. CB 7235
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-2574
Practice Address - Fax:919-966-0098
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2020-03-09
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Provider Licenses
StateLicense IDTaxonomies
NC2019-02113208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology