| NPI | 1144245911 |
|---|---|
| Professional Name | T SHANE JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD424449) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD424449) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-12-13 |