| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW CHRISTOPHER JOHNSON | 1679157630 | 2022-06-19 |
Matthew Christopher Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679157630. Registration indicates Matthew Christopher Johnson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Matthew Christopher Johnson MD |
| Practice Office Address | 4618 COUNTRY CLUB RD WINSTON SALEM, NC US |
| Practice Office Telephone | 3367163926 |
| Practice Office Fax | 3367169258 |
| Mailing Address | 1 MEDICAL CENTER BLVD WINSTON SALEM, NC 271570001 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |