Gideon Lee Johnson
Gideon Lee Johnson is a Student in an Organized Health Care Education/Training Program in Cornelius, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2026
Practice location Address checks out
19485 Old Jetton Rd Ste 100Cornelius, NC 28031-6583
Phone: (704) 316-5170
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NC) |
|---|
Record details
| NPI number | 1902745888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2026 |
| Last updated in NPPES | March 26, 2026 |
| Certification date | March 26, 2026 |
| Mailing address | 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583 |
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Dr. Rachel Anne Latterich, DO
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