Individual
THERESA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4321
(252) 247-4297
(252) 247-7383
Mailing address
3511 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4321
(252) 247-4297
(252) 247-7383
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200301023
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901347
—
NC
Enumeration date
06/09/2006
Last updated
06/17/2010
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