Individual
MAY PA THA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 FARRELL RD, SANFORD, NC 27330-6505
(919) 776-9602
Mailing address
217 UMSTEAD ST, SANFORD, NC 27330-9790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5022230
NC
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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