Individual
AUGUSTUS ALEXANDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Mailing address
PO BOX 26580, GREENSBORO, NC 27415-6580
(336) 832-7786
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076158
NC
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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