Basic Information
| Provider Information | |||||||||
| NPI: | 1740338516 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOHNSON | ||||||||
| FirstName: | DARYHL | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | M.D., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4008 BURNETT WOMACK BLDG | ||||||||
| Address2: | CAMPUS BOX 7228 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664389 | ||||||||
| FaxNumber: | 9199660369 | ||||||||
| Practice Location | |||||||||
| Address1: | 4008 BURNETT WOMACK BLDG | ||||||||
| Address2: | CAMPUS BOX 7228 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199664389 | ||||||||
| FaxNumber: | 9199660369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/08/2007 | ||||||||
| LastUpdateDate: | 03/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 2011-01375 | NC | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | N5748 | TX | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.