Organization
DARRYL JOHNSON AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL JOHNSON (AGENCY OWNER)
(704) 373-7043
Entity
Organization
Contact information
Practice address
715 N CHURCH ST, STE 130, CHARLOTTE, NC 28202-2294
(704) 373-7043
(704) 373-7045
Mailing address
715 N CHURCH ST, STE 130, CHARLOTTE, NC 28202-2294
(704) 373-7043
(704) 373-7045
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8480713
NC
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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