Individual
MICHAELA JULIET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
1399 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(301) 448-5648
(336) 768-4869
Mailing address
1315 CREEKSHIRE WAY APT 346, WINSTON SALEM, NC 27103-4055
(301) 448-5648
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006801
NC
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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