Individual
RODERICK DEMONT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11237 RANDLEMAN RD, RANDLEMAN, NC 27317-8091
(336) 848-3280
Mailing address
11237 RANDLEMAN RD, RANDLEMAN, NC 27317-8091
(336) 848-3280
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NC
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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