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1841211448
TIV ASHANTI JOHNSON
MONROE, NC
NPI
1841211448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NC 2005-01614)
Enumeration Date
2006-07-21
Last Update Date
2024-07-15
Business Address
TIV ASHANTI JOHNSON MD
1550 FAULK ST
MONROE, NC 28112-5086
Phone number: 704-289-3024
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Mailing Address
TIV ASHANTI JOHNSON MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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