Individual
MRS. ELLEN BRIGMAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GRAHAM LN, BEAUFORT, NC 28516-9449
(252) 728-4422
(252) 728-7909
Mailing address
107 GRAHAM LN, BEAUFORT, NC 28516-9449
(252) 728-4422
(252) 728-7909
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
FCL-016-007
NC
372500000X
Chore Provider
FCL-016-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804167
—
NC
05
—
7804168
—
NC
Enumeration date
10/05/2007
Last updated
10/05/2007
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