# JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnston Medical Associates Specialty Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528404415
- **Authorized official:** MS. TRACEY WOORUFF (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (919) 938-7374

## Contact information

- **Practice address:** 507 N BRIGHTLEAF BLVD, SUITE 100, SMITHFIELD, NC 27577-4405
- **Practice address phone:** (919) 934-3022
- **Practice address fax:** (919) 934-4133
- **Mailing address:** 507 N BRIGHTLEAF BLVD, SUITE 100, SMITHFIELD, NC 27577-4405
- **Mailing address phone:** (919) 934-3022
- **Mailing address fax:** (919) 934-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2013
- **Last updated:** 05/20/2013