Organization
JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC.
Active
Other names
Johnston Medical Associates Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY WOODRUFF (MANAGER)
(919) 938-7182
Entity
Organization
Contact information
Practice address
514 N BRIGHTLEAF BLVD, SUITE 1610, SMITHFIELD, NC 27577-4407
(919) 938-7182
(919) 938-7185
Mailing address
PO BOX 63366, CHARLOTTE, NC 28263-3366
(866) 430-0564
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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