Organization
MIHALO PLLC
Active
Other names
Mihalo Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHNSON MD (PHYSICIAN)
(607) 423-3949
Entity
Organization
Contact information
Practice address
1271 OLD US 1 HWY, SOUTHERN PINES, NC 28387-6308
(607) 423-3949
Mailing address
340 FOX BOX RD, VASS, NC 28394-3301
(607) 423-3949
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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