Individual
JULIE A JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2455 EMERALD PL, GREENVILLE, NC 27834-5785
(252) 758-2224
(252) 758-2860
Mailing address
3515 GLENWOOD AVE, RALEIGH, NC 27612-4934
(919) 781-5600
(919) 782-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102645
NC
Other
Enumeration date
07/13/2005
Last updated
04/11/2014
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