Organization
JOHNNY'S ON THE SPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA TERRELL (EXECUTIVE DIRECTOR)
(919) 673-7352
Entity
Organization
Contact information
Practice address
4221 DINWIDDIE CT, RALEIGH, NC 27604-4861
(919) 673-7352
(919) 457-1450
Mailing address
4221 DINWIDDIE CT, RALEIGH, NC 27604-4861
(919) 673-7352
(919) 457-1450
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6256859
NC
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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