Individual
JOHNANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENCE
Contact information
Practice address
1912 E HWY NC 54 SUITE 100, DURHAM, NC 27713
(919) 949-5592
Mailing address
1912 E NC HIGHWAY 54, DURHAM, NC 27713-2235
(919) 949-5592
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C41080
NC
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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