Individual
RANDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 PARKWAY, SUITE G, GREENSBORO, NC 27401-1308
(336) 676-5394
(336) 676-5395
Mailing address
405 PARKWAY, SUITE G, GREENSBORO, NC 27401-1308
(336) 676-5394
(336) 676-5395
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
09/10/2014
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