Basic Information
Provider Information
NPI: 1851355184
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOHR
FirstName: ROBERT
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 891 WILLOW DR
Address2: STE 1
City: CHAPEL HILL
State: NC
PostalCode: 275147077
CountryCode: US
TelephoneNumber: 9199423016
FaxNumber:  
Practice Location
Address1: 860 PERRY RD
Address2:  
City: APEX
State: NC
PostalCode: 275027701
CountryCode: US
TelephoneNumber: 5613684545
FaxNumber: 5613684041
Other Information
ProviderEnumerationDate: 04/13/2006
LastUpdateDate: 10/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XME33849FLY Allopathic & Osteopathic PhysiciansDermatology 
207N00000X2014-01177NCN Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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