# TALLULAH HEALTH CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558336073
- **Authorized official:** PATRICIA J JOHNSON M.D. (PRESIDENT)
- **Authorized official phone:** (828) 479-6434

## Contact information

- **Practice address:** 409 TALLULAH RD, ROBBINSVILLE, NC 28771-8500
- **Practice address phone:** (828) 479-6434
- **Practice address fax:** (828) 479-2917
- **Mailing address:** 409 TALLULAH RD, ROBBINSVILLE, NC 28771-8500
- **Mailing address phone:** (828) 479-6434
- **Mailing address fax:** (828) 479-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 40397 | NC | Yes |

## Other

- **Enumeration date:** 02/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02762 | BLUE CROSS PRACTICE NUMBR | NC |
| 05 | — | 7902762 | — | NC |