Individual
CHINETHIA H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 HUNTER AVE, CHARLOTTE, NC 28262-3108
(704) 431-8052
Mailing address
6130 HUNTER AVE, CHARLOTTE, NC 28262-3108
(704) 431-8052
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
85594
SC
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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