Individual
MRS. GEANETTA JOHNSON AGBONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC, CPC-I, CBCS
Contact information
Practice address
2020 MAKIN DR, INDIAN TRAIL, NC 28079-7663
(704) 254-7900
Mailing address
2020 MAKIN DR, INDIAN TRAIL, NC 28079-7663
(704) 254-7900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
00102028
NC
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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