Individual
SHERRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHETIC
Contact information
Practice address
214 NOTTINGHAM DR STE 303, CARY, NC 27511-4915
(919) 227-6848
Mailing address
PO BOX 37221, RALEIGH, NC 27627-7221
(919) 227-6848
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
FTTXCRD1DA
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-3371708
SALON BUSINESS
NC
Enumeration date
03/28/2024
Last updated
05/05/2025
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