Organization
JOHNSTON MEMORIAL HOSPITAL
Active
Organization
JOHNSTON MEMORIAL HOSPITAL
Active
Other names
Johnston Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT WOODBRIDGE IV MD (DOCTOR)
(919) 284-4149
Entity
Organization
Contact information
Practice address
400 N ENGLEWOOD DR, KENLY, NC 27542-9290
(919) 284-4149
(919) 284-6008
Mailing address
400 N ENGLEWOOD DR, KENLY, NC 27542-9290
(919) 284-4149
(919) 284-6008
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9900728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891207E
—
NC
Enumeration date
08/08/2006
Last updated
08/22/2020
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