Johnson Blackburn
NPI #1669665394 in Wallace, North Carolina
Provider Information
- NPI Number
- 1669665394
- Entity Type
- Organization
- Organization Name
- Johnson Blackburn
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Aug 27, 2007
Practice Location
- Address
- 111 E SOUTHERLAND ST
- City
- Wallace
- State
- North Carolina
- ZIP Code
- 28466-2326
- Phone
- (910) 285-3134
Authorized Official
- Name
- MR. MICHAEL J BLACKBURN
- Title
- MANAGER
- Phone
- (910) 285-3134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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