Organization
JOHNSTON FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE GODWIN WATSON MD (PHYSICIAN)
(919) 934-1211
Entity
Organization
Contact information
Practice address
713 WILKINS ST, SMITHFIELD, NC 27577
(919) 934-1211
(919) 989-8189
Mailing address
713 WILKINS ST, SMITHFIELD, NC 27577-4647
(919) 934-1211
(919) 989-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9601754
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02003
BCBS GRP
—
05
—
8902003
—
NC
Enumeration date
11/13/2006
Last updated
12/21/2009
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