NPI 1427487818

Darryl Johnson Agency INC

Organisation Exclusive Provider Organization Charlotte, NC

Practice location

Address: 715 N Church St STE 130, Charlotte, NC 28202-2294
Phone: (704) 373-7043
Fax: (704) 373-7045

Authorised official

Name: Darryl Johnson
Title: Agency Owner
Phone: (704) 373-7043

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 8480713 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1427487818
Entity type: Organization
NPI issued: 6 Nov 2013
Record last updated: 6 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.