Organization
JOHNSON BLACKBURN
Active
Other names
Pages Home Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J BLACKBURN (MANAGER)
(910) 285-3134
Entity
Organization
Contact information
Practice address
111 E SOUTHERLAND ST, WALLACE, NC 28466-2326
(910) 285-3134
Mailing address
111 E SOUTHERLAND ST, WALLACE, NC 28466-2326
(910) 285-3134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20874
NC
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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