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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