Individual
MS. ERICA WILLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2613 HOSPITAL RD, GOLDSBORO, NC 27534
(919) 736-0222
(919) 736-0223
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-1699
NC
363AM0700X
Medical Physician Assistant
0010-01699
NC
363AS0400X
Surgical Physician Assistant
0010-01699
NC
Other
Enumeration date
02/05/2009
Last updated
02/24/2021
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