Tanner Owen Johnson

NPI #1700630209 in Holly Springs, North Carolina

Provider Information

NPI Number: 1700630209
Entity Type: Individual
Name: Tanner Owen Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Apr 12, 2024
Last Updated: Feb 7, 2025

Practice Location

Address: 504 VILLAGE WALK DR
City: Holly Springs
State: North Carolina
ZIP Code: 27540-4440
Phone: (919) 351-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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