Individual
J BARRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3314 HEALY DR, SUITE 102, WINSTON-SALEM, NC 27103-1408
(336) 768-1267
(336) 768-9336
Mailing address
3314 HEALY DR, SUITE 102, WINSTON-SALEM, NC 27103-1408
(336) 768-1267
(336) 768-9336
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
75
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
75
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908095
—
NC
Enumeration date
02/06/2006
Last updated
03/07/2023
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