Detty Thomas Johnson
NPI #1063927549 in Apex, North Carolina
Provider Information
- NPI Number
- 1063927549
- Entity Type
- Individual
- Name
- Detty Thomas Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Dec 6, 2017
Practice Location
- Address
- 8505 NEWBERRY GROVE DR
- City
- Apex
- State
- North Carolina
- ZIP Code
- 27539-7970
- Phone
- (919) 670-7547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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