Individual
HALEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-7113
(423) 413-5215
Mailing address
1350 BEAVERTON TRL, WINSTON SALEM, NC 27103-5274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-00473
NC
Other
Enumeration date
04/07/2014
Last updated
03/28/2017
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