Individual
DR. CLEMUEL MANSEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 DUNHAM STREET, ELIZABETHTOWN, NC 28337-0487
(910) 862-3943
(910) 862-2363
Mailing address
PO BOX 487, ELIZABETHTOWN, NC 28337-0487
(910) 862-3943
(910) 862-2363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2753
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994605
—
NC
Enumeration date
09/02/2006
Last updated
07/08/2007
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