Individual
TANNER OWEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-4440
(919) 351-8600
(314) 741-4947
Mailing address
928 HARVEST POINT DR, FUQUAY VARINA, NC 27526-5588
(252) 876-7073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2811
NC
Other
Enumeration date
04/12/2024
Last updated
02/07/2025
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