Organization
JOHNSTON MEMORIAL HOSPITAL PHYSICAL THERAPISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M JUSTUS (DIRECTOR OF PATIENT FINANCIAL SER)
(919) 938-7155
Entity
Organization
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7296
Mailing address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7296
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017J5
BLUE CROSS-BLUE SHIELD
NC
Enumeration date
05/14/2007
Last updated
08/22/2020
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