Provider Demographics
NPI:1851355184
Name:JOHR, ROBERT H (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:JOHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 WILLOW DR
Mailing Address - Street 2:STE 1
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7077
Mailing Address - Country:US
Mailing Address - Phone:919-942-3016
Mailing Address - Fax:
Practice Address - Street 1:860 PERRY RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7701
Practice Address - Country:US
Practice Address - Phone:561-368-4545
Practice Address - Fax:561-368-4041
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33849207N00000X
NC2014-01177207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93700Medicare ID - Type Unspecified
FLD60550Medicare UPIN
FLD60550Medicare UPIN