Individual
GARY EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3475 ERWIN RD, DURHAM, NC 27705-0005
(919) 681-1656
(919) 668-1451
Mailing address
DUMC 3965, DURHAM, NC 27710-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15768
NC
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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