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Individual

EMILY LOUISE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1215 W CLEMMONSVILLE RD, WINSTON SALEM, NC 27127-4521
(336) 300-8855
Mailing address
104 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 224-0931

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018834
NC

Other

Enumeration date
09/18/2023
Last updated
10/30/2023
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