Individual
DR. TAWANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1400 BATTLEGROUND AVE, SUITE 150A, GREENSBORO, NC 27408-8042
(336) 272-1339
(336) 510-8605
Mailing address
PO BOX 1915, GREENSBORO, NC 27402-1915
(336) 272-1339
(336) 510-8605
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085JY
—
NC
Enumeration date
04/20/2007
Last updated
08/10/2011
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