Individual
ANDREA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 N COX ST STE 28, ASHEBORO, NC 27203-5514
(336) 629-6500
(336) 629-9500
Mailing address
350 N COX ST, STE 28, ASHEBORO, NC 27203-5514
(336) 629-6500
(336) 629-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103798
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700939220
—
NC
Enumeration date
01/19/2007
Last updated
04/13/2022
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