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Organization

JOHNSTON MEMORIAL HOSPITAL AUTHORITY

Active
Other names
JOHNSTON MEMORIAL HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA PARHAM (PFS DIRECTOR)
(919) 938-7155
Entity
Organization

Contact information

Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 934-8171
Mailing address
PO BOX 1376, SMITHFIELD, NC 27577-1376
(919) 934-8171

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
H0151
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017J5
BCBS
NC
Enumeration date
07/26/2007
Last updated
08/10/2007
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