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Individual

ERIN SMITH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1210 EASTERN AVE, NASHVILLE, NC 27856-1817
(252) 462-0070
Mailing address
6720 COLLEEN RD, ROCKY MOUNT, NC 27803-8143
(252) 904-6576

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4623
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
NC
Enumeration date
03/25/2019
Last updated
03/25/2019
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