Individual
CRYSTAL KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
8809 GERREN CT, CHARLOTTE, NC 28217-3091
(478) 714-3363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
954079
—
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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