Individual
RENITA MIRIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
208 HIGHLANDS LAKE DR, CARY, NC 27518-9149
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0010-14689
NC
Other
Enumeration date
01/08/2025
Last updated
04/02/2025
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