Individual
MRS. TERESA THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Mailing address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
80124
NC
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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