Provider Demographics
NPI:1740338516
Name:JOHNSON, DARYHL L II (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DARYHL
Middle Name:L
Last Name:JOHNSON
Suffix:II
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 BURNETT WOMACK BLDG
Mailing Address - Street 2:CAMPUS BOX 7228
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7228
Mailing Address - Country:US
Mailing Address - Phone:919-966-4389
Mailing Address - Fax:919-966-0369
Practice Address - Street 1:4008 BURNETT WOMACK BLDG
Practice Address - Street 2:CAMPUS BOX 7228
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7228
Practice Address - Country:US
Practice Address - Phone:919-966-4389
Practice Address - Fax:919-966-0369
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01375208600000X
TXN5748208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery