Individual
THELMA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 BEAMAN OLD CREEK RD, SNOW HILL, NC 28580-8308
(252) 747-5533
(252) 747-5129
Mailing address
3436 BEAMAN OLD CREEK RD, SNOW HILL, NC 28580-8308
(252) 747-5533
(252) 747-5129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/10/2007
Last updated
07/28/2021
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