Organization
MARIA S JOHNSON OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA S JOHNSON OD (SOLE MEMBER)
(252) 985-1371
Entity
Organization
Contact information
Practice address
136 NORTHRIDGE ST, GREENSBORO, NC 27403-1457
(336) 303-9587
Mailing address
136 NORTHRIDGE ST, GREENSBORO, NC 27403-1457
(336) 303-9587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1938
NC
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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