Individual
MS. CAROLYN T JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 N MADISON AVE, GOLDSBORO, NC 27530-3143
(919) 739-0047
(919) 739-9041
Mailing address
PO BOX 362, PIKEVILLE, NC 27863-0362
(919) 739-0047
(919) 739-9041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079FR
BCBS
NC
05
—
7411809
—
NC
Enumeration date
02/27/2006
Last updated
07/09/2007
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