Individual
MRS. BETTY LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MAIN STREET, CAMPBELL UNIVERSITY, BUIES CREEK, NC 27506
(910) 893-1779
(910) 814-5567
Mailing address
231 WINDING OAK WAY, CLAYTON, NC 27520-4089
(919) 934-4365
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840360
VA
Other
Enumeration date
01/31/2006
Last updated
09/30/2011
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