Randy Johnson
NPI #1629247317 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1629247317
- Entity Type
- Individual
- Name
- Randy Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 27, 2008
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 405 PARKWAY
- Address 2
- SUITE G
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27401-1308
- Phone
- (336) 676-5394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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