Organization
JOHNSTON SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY T LASSITER (OFFICE MANAGER)
(919) 934-2360
Entity
Organization
Contact information
Practice address
712 WILKINS ST, SUITE D, SMITHFIELD, NC 27577-4664
(919) 934-2360
(919) 934-0745
Mailing address
712 WILKINS ST, SUITE D, SMITHFIELD, NC 27577-4664
(919) 934-2360
(919) 934-0745
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228A
BCBS
NC
05
—
890228A
—
NC
Enumeration date
05/17/2006
Last updated
08/22/2020
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