Ada Johnson
NPI #1013239151 in Yadkinville, North Carolina
Provider Information
- NPI Number
- 1013239151
- Entity Type
- Individual
- Name
- Ada Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 16, 2010
- Last Updated
- Feb 16, 2010
Practice Location
- Address
- 903 W MAIN ST
- City
- Yadkinville
- State
- North Carolina
- ZIP Code
- 27055-7807
- Phone
- (336) 463-5510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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