Individual
MRS. JAMIE ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
520 BEAMAN ST, CLINTON, NC 28328-2602
(910) 596-5633
(910) 596-0977
Mailing address
520 BEAMAN ST, CLINTON, NC 28328-2602
(910) 596-5633
(910) 596-0977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0787
NC
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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